Individual
HAIMANOT HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 741-4100
Mailing address
920 ELKRIDGE LANDING RD, LINTHICUM, MD 21090-2917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D77759
MD
208M00000X
Hospitalist Physician
Primary
MD046490
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
MD
Other
Enumeration date
07/19/2011
Last updated
07/31/2018
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