Hailu, Theodoros

Hailu, Theodoros is an individual health care provider with primary practice located at 5000 W Oakland Park Blvd , Lauderdale Lakes FL 33313-1503. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Hailu, Theodoros can be contacted via phone (954) 730-2750.

Contact Information

Primary practice address
5000 W Oakland Park Blvd Lauderdale Lakes FL 33313-1503
Phone: (954) 730-2750
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME0089942 Florida

Profile Details

NPI number 1003880774
LBN Legal business name Hailu, Theodoros
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 9th, 2008 - about 17 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 1003880774 NPPES
Florida MEDICAID 270988100
Florida Other 50653
Florida Other P00290620

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