Provider Demographics
NPI:1558620047
Name:YIMER, MULUNEH ABEBE (MD)
Entity Type:Individual
Prefix:DR
First Name:MULUNEH
Middle Name:ABEBE
Last Name:YIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MULUNEH
Other - Middle Name:
Other - Last Name:ABEBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2929 K STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5122
Mailing Address - Country:US
Mailing Address - Phone:916-750-2328
Mailing Address - Fax:916-710-8113
Practice Address - Street 1:2929 K STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5122
Practice Address - Country:US
Practice Address - Phone:916-750-2328
Practice Address - Fax:916-710-8113
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1558872080P0202X
CAA1558872080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology