Individual
DEREJE HAILEMARIAM HABITEMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C2393
KY
207R00000X
Internal Medicine Physician
Primary
D0089718
MD
208M00000X
Hospitalist Physician
0101275485
VA
208M00000X
Hospitalist Physician
340963
LA
Other
Enumeration date
06/22/2017
Last updated
12/16/2025
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