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DR. AYANAW GUADIE MAMO MD
NPI 1508740275
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since August 04, 2025
1650 GRAND CONCOURSE, BRONX, NY 10457(718) 960-1234 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ayanaw Guadie Mamo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AYANAW GUADIE MAMO MD (NPI 1508740275) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1508740275
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. AYANAW GUADIE MAMOCredential: MD
Location Address1650 GRAND CONCOURSEBronx, NY 10457-7679
Mailing Address305 Mount Eden Pkwy Apt 1Bronx, NY 10457-7355 · (347) 734-4812
Phone(718) 960-1234
Sole ProprietorNo
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 4, 2025
✔ NPI 1508740275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1650 GRAND CONCOURSE, Bronx, NY 10457
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIE LAUREN GREEN M.S., CCC-SLP
Speech-Language Pathologist
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (201) 281-3781
ARAMARK
Clinic/Center
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (646) 641-7427
MAY YEE HELMAN M.D.
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
ANDREA ELIZABETH SPIEKHOUT D.O.
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
VINCENT SETIAWAN PRAWOKO MD
Student in an Organized Health Care Education/Training Program
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (347) 601-1241
HAIDER GHAZANFAR
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (917) 856-6383
MATTHEW PEACHEY MD
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 992-7669
TRACY RAU MD
Family Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Bronx County (718) 590-1800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayanaw Mamo's NPI number?

The NPI number for Ayanaw Mamo is 1508740275. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Ayanaw Mamo located?

Ayanaw Mamo practices at 1650 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 960-1234.

What is Ayanaw Mamo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ayanaw Mamo was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.