Active NPIIndividual provider

Dr. Yordanos M Agajyelleh, MD

Family Medicine in Kennesaw, Georgia

NPI Number1558824011
Practice location
2985 Mack Dobbs RD NW, Kennesaw, GA 30152-2641
Fax
770-955-4278
Last updated
August 22, 2024

Yordanos Mesfin Agajyelleh is a Family Medicine based in Kennesaw, GA. Yordanos Mesfin Agajyelleh practices in Kennesaw, GA and has the professional credentials of MD. The NPI Number for Yordanos Mesfin Agajyelleh is 1558824011 and holds a License No. U2762 (TX). The current practice location address for Yordanos Mesfin Agajyelleh is 2985 Mack Dobbs RD NW, Kennesaw, GA 30152-2641 and can be reached out via phone at 770-268-4011 and via fax at 770-955-4278.

Provider Profile Details

NPI Number
1558824011
Provider Name
Yordanos Mesfin Agajyelleh
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2985 Mack Dobbs RD NW, Kennesaw, GA 30152-2641
Phone Number
770-268-4011
Fax Number
770-955-4278
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2019
Last Update Date
August 22, 2024
Certification Date
August 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2985 Mack Dobbs RD NW
Kennesaw, GA 30152-2641
State
Georgia
Zip
30152-2641
Phone Number
770-268-4011
Fax Number
770-955-4278
Kennesaw, GA 30152Get directions →

Provider Business Mailing Address Details

Address
3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
City
Atlanta
State
GA
Zip
30339-3304
Phone Number
770-914-0016

License Information

License Number (1)
U2762
License State (1)
TX
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
99224
License State (2)
GA
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Yordanos M Agajyelleh, MD?

The NPI number of Dr. Yordanos M Agajyelleh, MD is 1558824011. It was assigned on April 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Dr. Yordanos M Agajyelleh, MD?

Dr. Yordanos M Agajyelleh, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in TX under license number U2762.

Where does Dr. Yordanos M Agajyelleh, MD practice?

The practice location is 2985 Mack Dobbs RD NW, Kennesaw, GA 30152-2641. The office can be reached at 770-268-4011 (phone) or 770-955-4278 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558824011 directly on the NPPES registry website.

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