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Tesfaye D Fanta MD Pllc

Endocrinology, Diabetes & Metabolism Physician in Reidsville, NC · enumerated 2012 · authorized official Tesfaye Fanta, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033489216

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Registry record

Entity type Organization (Type 2)
Legal business name Tesfaye D Fanta MD Pllc
Practice address 910 W Harrison St, Reidsville, NC, 27320
Phone (336) 342-9564
Fax (336) 349-9723
Enumeration date Jan 5, 2012
Last updated in NPPES Jan 5, 2012

Taxonomy & classification

207RE0101X Endocrinology, Diabetes & Metabolism Physician Allopathic & Osteopathic Physicians · License 200900231 (NC) Primary

Authorized official

Name Tesfaye Fanta
Title Owner
Phone (336) 342-9564

Other identifiers

Identifier Type State Issuer
891066A Medicaid NC -
1522X Other NC BCBS
1066A Other NC BCBS
5911977 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tesfaye D Fanta MD Pllc?
The NPI for Tesfaye D Fanta MD Pllc is 1033489216, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tesfaye D Fanta MD Pllc?
NPPES lists Tesfaye Fanta (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-01-05.