Individual
DR. TIGIST HAILU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4924 CAMPBELL BLVD, STE 110, BALTIMORE, MD 21236-5908
(443) 442-2000
(443) 442-2018
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
(410) 502-0550
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0061065
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403842800
—
MD
Enumeration date
05/31/2005
Last updated
02/07/2013
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