Provider Demographics
NPI:1699129213
Name:ASGEDOM, GIRMAY TEWOLDEMEDHN (MD , MSPH)
Entity type:Individual
Prefix:
First Name:GIRMAY
Middle Name:TEWOLDEMEDHN
Last Name:ASGEDOM
Suffix:
Gender:M
Credentials:MD , MSPH
Other - Prefix:
Other - First Name:GIRMAY
Other - Middle Name:T
Other - Last Name:ASGEDOM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-3030
Mailing Address - Fax:412-359-3060
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-3030
Practice Address - Fax:412-359-3060
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101266754207R00000X, 208M00000X
PAFA0151263207R00000X
PAMD476180207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist