Provider Demographics
NPI:1740063833
Name:FKADU, ESSAY TSIGEHENS
Entity type:Individual
Prefix:
First Name:ESSAY
Middle Name:TSIGEHENS
Last Name:FKADU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3643
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-0643
Mailing Address - Country:US
Mailing Address - Phone:510-978-7310
Mailing Address - Fax:
Practice Address - Street 1:7500 WELD ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94621-2716
Practice Address - Country:US
Practice Address - Phone:510-978-7310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver