Healthcare Provider Details

I. General information

NPI: 1851626428
Provider Name (Legal Business Name): DR. TSION BERHANE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 MISSION HILLS CT
SILVER SPRING MD
20905-8020
US

IV. Provider business mailing address

604 MISSION HILLS CT
SILVER SPRING MD
20905-8020
US

V. Phone/Fax

Practice location:
  • Phone: 410-997-5944
  • Fax: 443-445-3392
Mailing address:
  • Phone: 410-997-5944
  • Fax: 443-445-3392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: TSION BERHANE
Title or Position: PRESIDENT
Credential: MD
Phone: 410-997-5944