ABRAHA D KIDANE (PA) – Emergency Medicine Physician, NPI 1942291265

ABRAHA D KIDANE (PA) is a healthcare provider. based in Modesto, California. specializing in Emergency Medicine Physician. They hold the professional credentials PA. They hold a License No. PA11772 (CA). The NPI Number for ABRAHA D KIDANE (PA) is 1942291265

Main info

Male
Name
ABRAHA D KIDANE (PA)
NPI
1942291265
Phone
(209) 342-2300
Address
4301 NORTHSTAR WAY
Enumeration Date
4 November 2005
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for ABRAHA D KIDANE (PA)

  • 4301 NORTHSTAR WAY

    MODESTO, CA 953569262

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Mailing

  • Highland Hospital, 1411, East 31st Street, Highland Park, Oakland, Alameda County, California, 94602, United States

    OAKLAND, CA 946021018

    Phone: (209) 342-2300

    Fax: (209) 524-4240

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95356)

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Reviews

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Frequently asked questions

What is the standard ID for ABRAHA D KIDANE (PA) in the U.S.?
In the U.S., ABRAHA D KIDANE (PA) is identified by NPI 1942291265.
Is ABRAHA D KIDANE (PA) currently accepting referrals based on NPI status?
Registry metadata lists ABRAHA D KIDANE (PA) as active.
What services align with ABRAHA D KIDANE (PA)'s listing?
ABRAHA D KIDANE (PA)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to ABRAHA D KIDANE (PA)?
ABRAHA D KIDANE (PA) shows a connection to Modesto, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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