Provider Demographics
NPI:1376781492
Name:GEME, BERHANU M (MD)
Entity Type:Individual
Prefix:DR
First Name:BERHANU
Middle Name:M
Last Name:GEME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:701 OSTRUM ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:FOUNTAIN HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1155
Mailing Address - Country:US
Mailing Address - Phone:610-867-9240
Mailing Address - Fax:610-867-7238
Practice Address - Street 1:701 OSTRUM ST
Practice Address - Street 2:SUITE 601
Practice Address - City:FOUNTAIN HILL
Practice Address - State:PA
Practice Address - Zip Code:18015-1155
Practice Address - Country:US
Practice Address - Phone:610-867-9240
Practice Address - Fax:610-867-7238
Is Sole Proprietor?:No
Enumeration Date:2009-01-27
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY254504207RG0100X
PAMD449309207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology