Provider Demographics
NPI:1235460213
Name:BEYENE, TESFAYE K (MD)
Entity Type:Individual
Prefix:
First Name:TESFAYE
Middle Name:K
Last Name:BEYENE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:677 CHURCH ST NE
Mailing Address - Street 2:BOX 111-HOSPITALISTS' OFFICE
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1101
Mailing Address - Country:US
Mailing Address - Phone:770-793-5178
Mailing Address - Fax:770-793-7755
Practice Address - Street 1:677 CHURCH ST NE
Practice Address - Street 2:BOX 111-HOSPITALISTS' OFFICE
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1101
Practice Address - Country:US
Practice Address - Phone:770-793-5178
Practice Address - Fax:770-793-7755
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2019-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35097865207R00000X
TXP5035207R00000X
ARE-7417207R00000X
GA073978208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine