Provider Demographics
NPI:1871134064
Name:BELAY, MASTEWAL GETANEH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MASTEWAL
Middle Name:GETANEH
Last Name:BELAY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 CENTURY CITY S APT 10
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-2787
Mailing Address - Country:US
Mailing Address - Phone:614-446-5563
Mailing Address - Fax:
Practice Address - Street 1:20405 CHAGRIN BLVD
Practice Address - Street 2:
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-5324
Practice Address - Country:US
Practice Address - Phone:216-752-4866
Practice Address - Fax:216-767-0987
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist