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Billing entities under FANTA, TESFAYE
Every Medicaid billing NPI that lists FANTA, TESFAYE (owner) as its authorized official in NPPES: 1 entity in 1 state, paid $29K combined.
28Combined paid$29K
33Billing entities1
24GClaims1,886
States1
Matched on the name exactly as typed into NPPES. Two different people with the same name will land on the same page.
Box 32 · Location
By state
Box 33 · Billing providers
All entities
| # | Provider | Location | Type | Paid |
|---|---|---|---|---|
| 1 | Tesfaye D Fanta MD PLLC | Reidsville, NC | Endocrinology, Diabetes & Metabolism Physician | $29K |