Provider Demographics
NPI:1356684609
Name:ZEWDE, ANTENEH GIRMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTENEH
Middle Name:GIRMA
Last Name:ZEWDE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 ORLIN AVE SE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3560
Mailing Address - Country:US
Mailing Address - Phone:612-594-1745
Mailing Address - Fax:
Practice Address - Street 1:87 ORLIN AVE SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3560
Practice Address - Country:US
Practice Address - Phone:612-594-1745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-04
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN806159207R00000X
MN59848208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine