Individual
DR. HABTEMARIAM KUMELACHEW DESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1155 MILL ST, RENO, NV 89502-1576
(775) 982-4521
(775) 982-2973
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2024-01134
NC
2084N0400X
Neurology Physician
Primary
26956
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16478384
CAQH
NV
01
—
27526
NVMD LICENSE
NV
Enumeration date
03/31/2020
Last updated
06/26/2025
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