Provider Demographics
NPI:1851836241
Name:ARAYA, FIKRE
Entity type:Individual
Prefix:
First Name:FIKRE
Middle Name:
Last Name:ARAYA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 COUNTRY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7810
Mailing Address - Country:US
Mailing Address - Phone:614-592-2167
Mailing Address - Fax:
Practice Address - Street 1:2505 COUNTRY RIDGE DR
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7810
Practice Address - Country:US
Practice Address - Phone:614-592-2167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker