Healthcare Provider Details

I. General information

NPI: 1972967354
Provider Name (Legal Business Name): HILINA TSEHAY KASSA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7240 PATTERSON AVE STE 100
RICHMOND VA
23229-6751
US

IV. Provider business mailing address

7240 PATTERSON AVE STE 100
RICHMOND VA
23229-6751
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-4205
  • Fax: 804-673-6432
Mailing address:
  • Phone: 804-282-4205
  • Fax: 804-673-6432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC7-0006183
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: