Provider Demographics
NPI:1780194225
Name:WESTERN HOSPITALIST PLLC
Entity Type:Organization
Organization Name:WESTERN HOSPITALIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WUDENEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEWDIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-227-2323
Mailing Address - Street 1:2808 LAMOND HILL AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6978
Mailing Address - Country:US
Mailing Address - Phone:405-227-2323
Mailing Address - Fax:
Practice Address - Street 1:2808 LAMOND HILL AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6978
Practice Address - Country:US
Practice Address - Phone:405-227-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Multi-Specialty