Provider Demographics
NPI:1558824011
Name:AGAJYELLEH, YORDANOS MESFIN (MD)
Entity type:Individual
Prefix:DR
First Name:YORDANOS
Middle Name:MESFIN
Last Name:AGAJYELLEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 RIVERWOOD PKWY SE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3304
Mailing Address - Country:US
Mailing Address - Phone:770-914-0016
Mailing Address - Fax:
Practice Address - Street 1:2985 MACK DOBBS RD NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30152-2641
Practice Address - Country:US
Practice Address - Phone:770-268-4011
Practice Address - Fax:770-955-4278
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU2762207Q00000X
GA99224207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine