Provider Demographics
NPI:1407167323
Name:NEGATU, YIHENEW ALEM (MD)
Entity Type:Individual
Prefix:DR
First Name:YIHENEW
Middle Name:ALEM
Last Name:NEGATU
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 1:2600 QUARRY LAKE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-4950
Mailing Address - Country:US
Mailing Address - Phone:703-585-9475
Mailing Address - Fax:
Practice Address - Street 1:473 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1252
Practice Address - Country:US
Practice Address - Phone:703-585-9475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35123512207R00000X
WI61374207RP1001X
KS0436736207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease