MEDICARE: DR. TSION BERHANE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0102X	Surgical Critical Care Physician

General Provider Information

NPI Number	:	1851626428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. TSION BERHANE

Provider Business Mailing Address
First Line	:	604 MISSION HILLS CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-8020
Country	:	US
Telephone Number	:	410-997-5944
Fax Number	:	443-445-3392

Provider Business Practice Location Address
First Line	:	604 MISSION HILLS CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-8020
Country	:	US
Telephone Number	:	410-997-5944
Fax Number	:	443-445-3392

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TSION BERHANE
Credential	:	MD
Telephone Number	:	410-997-5944

Provider Enumeration Date	:	10/14/2009
Last Update Date	:	10/14/2009

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