Provider Demographics
NPI:1689554412
Name:TEMESGEN LLC
Entity type:Organization
Organization Name:TEMESGEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MERON
Authorized Official - Middle Name:
Authorized Official - Last Name:BERHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-480-2943
Mailing Address - Street 1:4756 MCALLISTER AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227-1441
Mailing Address - Country:US
Mailing Address - Phone:571-480-2943
Mailing Address - Fax:
Practice Address - Street 1:4756 MCALLISTER AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227-1441
Practice Address - Country:US
Practice Address - Phone:571-480-2943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty