Feyssa, Eyob L

Feyssa, Eyob L is an individual health care provider with primary practice located at 5401 Old York Rd Klein Suite 505, Philadelphia PA 19141-3030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Feyssa, Eyob L can be contacted via phone (215) 456-8242.

Contact Information

Primary practice address
5401 Old York Rd Klein Suite 505 Philadelphia PA 19141-3030
Phone: (215) 456-8242
Fax: (215) 456-8058
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X M5704 Texas
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X 25MA08117400 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD430800 Pennsylvania
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD430800 Pennsylvania
Allopathic & Osteopathic Physicians / Hepatology 207RI0008X MD430800 Pennsylvania

Profile Details

NPI number 1184779415
LBN Legal business name Feyssa, Eyob L
Credentials MD, MPH, FACP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 22nd, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184779415 NPPES
Pennsylvania MEDICAID 101978752

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