Individual
DR. BIRHANE L. DESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 7TH AVE, BEAVER FALLS, PA 15010-4426
(724) 773-8995
Mailing address
1125 7TH AVE, BEAVER FALLS, PA 15010-4426
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
04/06/2025
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