Desta, Dereje Gebreselassie

Desta, Dereje Gebreselassie is an sole proprietor health care provider with primary practice located at 18951 N Memorial Dr , Humble TX 77338-4217. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Desta, Dereje Gebreselassie can be contacted via phone (281) 540-7700.

Contact Information

Primary practice address
18951 N Memorial Dr Humble TX 77338-4217
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2017000620 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X P2635 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P2635 Texas

Profile Details

NPI number 1427289321
LBN Legal business name Desta, Dereje Gebreselassie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2009
Last updated Dec 11th, 2019 - about 6 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.

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