Dessie, Almaz Sara
Dessie, Almaz Sara is an individual health care provider with primary practice located at 593 Eddy St. Claverick 2, Providence RI 02903. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Dessie, Almaz Sara can be contacted via phone (401) 444-4000.Contact Information
Primary practice address
593 Eddy St. Claverick 2
Providence RI 02903
Phone: (401) 444-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD14696 | Rhode Island |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A 122810 | California |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 289365 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | MD14696 | Rhode Island |
Profile Details
| NPI number | 1295087153 |
|---|---|
| LBN Legal business name | Dessie, Almaz Sara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2012 |
| Last updated | Dec 9th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295087153 | NPPES |
| Rhode Island | MEDICAID | 1295087153 | |
| Rhode Island | MEDICAID | 110102062A | |
| Rhode Island | Other | U400207851 |
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