Provider Demographics
NPI:1740629849
Name:ASMEROM, ASTER GEBREKIDAN (MD)
Entity type:Individual
Prefix:DR
First Name:ASTER
Middle Name:GEBREKIDAN
Last Name:ASMEROM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASTER
Other - Middle Name:E
Other - Last Name:GEBREKIDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 2100
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-9004
Mailing Address - Country:US
Mailing Address - Phone:970-203-7153
Mailing Address - Fax:970-336-1505
Practice Address - Street 1:2500 ROCKY MOUNTAIN AVE STE 2100
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-9004
Practice Address - Country:US
Practice Address - Phone:970-203-7153
Practice Address - Fax:970-336-1505
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CODR0058930207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program