Provider Demographics
NPI:1891490850
Name:SOMEGA, YEWUBNESH HAILU (MD)
Entity Type:Individual
Prefix:
First Name:YEWUBNESH
Middle Name:HAILU
Last Name:SOMEGA
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 1:3513 S 160TH ST APT A3
Mailing Address - Street 2:
Mailing Address - City:SEATAC
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2635
Mailing Address - Country:US
Mailing Address - Phone:206-637-5282
Mailing Address - Fax:
Practice Address - Street 1:6950 AUSTELL ROAD
Practice Address - Street 2:
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106
Practice Address - Country:US
Practice Address - Phone:470-732-5493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program