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REDET KIDANE
NPI 1790047793
Internal Medicine in New York, NY

Active since June 14, 2012
5141 BROADWAY, NEW YORK, NY 10034(212) 305-5138(212) 305-2843 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Redet Kidane NPPES

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

REDET KIDANE (NPI 1790047793) is an individual internal medicine provider in New York, New York, licensed in New York (283852) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1790047793
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameREDET KIDANE
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address630 W 168th StNew York, NY 10032-3725 · (212) 305-5138 · Fax (212) 305-2843
Phone(212) 305-5138
Fax(212) 305-2843
Sole ProprietorNo
Enumeration DateJune 14, 2012
Last NPPES UpdateOctober 18, 2018
✔ NPI 1790047793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 283852
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5141 BROADWAY, New York, NY 10034
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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.

AMANDA SARA BROWN RN
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4165
BRITNEY SAMIRA MATTHEWS NP
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
RAHUL SHAH M.D.
Hospitalist
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
SONIKA KAUR CHOUHAN
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4000
DR. DEAN CHOU MD
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 305-7376
MS. KAREN MERYL STUGENSKY RPA-C
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
New York County (212) 932-4125
DEREK MAZIQUE
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-5218
KRISTEN MICHELE MITCHELL PA
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034
New York County (212) 932-4171

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 Redet Kidane's NPI number?

The NPI number for Redet Kidane is 1790047793. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Redet Kidane located?

Redet Kidane practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 305-5138.

What is Redet Kidane's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Redet Kidane was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.