Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0055703 | MD |
Y | 208600000X | Surgeon | D0055703 | MD |
N | 2086S0102X | Surgical Critical Care | D0055703 | MD |
NPI | 1255336962 |
---|---|
Provider Name | Dr. Tsion Berhane |
First Address | Silver Spring, MD 20905-8020 |
Second Address | Silver Spring, MD 20905-8020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 15/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003501700 | (05) | MD |
CC2108342 | MAMSI CRITICAL CARE (01) | MD |
GS3108342 | MAMSI GEN'L SURGERY (01) | MD |
H36361 | (02) |