Provider Demographics
NPI:1912912668
Name:HAGOS, GETACHEW M (MD)
Entity Type:Individual
Prefix:DR
First Name:GETACHEW
Middle Name:M
Last Name:HAGOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:433 HIGHLAND AVE NE
Mailing Address - Street 2:APT #1369
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-1391
Mailing Address - Country:US
Mailing Address - Phone:404-963-6410
Mailing Address - Fax:
Practice Address - Street 1:340 BOULEVARD NE
Practice Address - Street 2:SUITE 210
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-1273
Practice Address - Country:US
Practice Address - Phone:404-588-4680
Practice Address - Fax:404-588-4692
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2008-11-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA058185207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease