Hailu, Tigist
Hailu, Tigist is an individual health care provider with primary practice located at 4924 Campbell Blvd Ste 110, Baltimore MD 21236-5908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Hailu, Tigist can be contacted via phone (443) 442-2000.Contact Information
Primary practice address
4924 Campbell Blvd Ste 110
Baltimore MD 21236-5908
Phone: (443) 442-2000
Fax: (443) 442-2018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | D0061065 | Maryland |
Profile Details
| NPI number | 1063415388 |
|---|---|
| LBN Legal business name | Hailu, Tigist |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Feb 7th, 2013 - about 12 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 | 1063415388 | NPPES |
| Maryland | MEDICAID | 403842800 |
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