Provider Demographics
NPI:1336016294
Name:SATECHA, DEJENE ALEMAYEHU
Entity type:Individual
Prefix:
First Name:DEJENE
Middle Name:ALEMAYEHU
Last Name:SATECHA
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 1:3262 LANDINGVIEW CT
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-1404
Mailing Address - Country:US
Mailing Address - Phone:678-207-8852
Mailing Address - Fax:678-207-8852
Practice Address - Street 1:9710 STATE AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-2232
Practice Address - Country:US
Practice Address - Phone:425-616-4100
Practice Address - Fax:425-616-4115
Is Sole Proprietor?:No
Enumeration Date:2025-10-23
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program