Provider Demographics
NPI:1659069532
Name:MENGESHA, BEZA GETACHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:BEZA
Middle Name:GETACHEW
Last Name:MENGESHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BANKS PL UNIT 321
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-6147
Mailing Address - Country:US
Mailing Address - Phone:443-515-8903
Mailing Address - Fax:
Practice Address - Street 1:1135 W UNIVERSITY DR STE 250
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-1886
Practice Address - Country:US
Practice Address - Phone:248-601-6955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program