Provider Demographics
NPI:1750391249
Name:HADGU, YEMANE BEYENE (MD)
Entity type:Individual
Prefix:
First Name:YEMANE
Middle Name:BEYENE
Last Name:HADGU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 MAYFIELD DR STE A7
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7204
Mailing Address - Country:US
Mailing Address - Phone:866-378-5362
Mailing Address - Fax:
Practice Address - Street 1:330 MAYFIELD DR STE A7
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-7204
Practice Address - Country:US
Practice Address - Phone:866-378-5362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35993207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine