Individual
BERHANE SIRAW ASFAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 426-6341
(253) 426-6344
Mailing address
34515 9TH AVE S, FEDERAL WAY, WA 98003-6761
(253) 426-6341
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
057771
GA
207R00000X
Internal Medicine Physician
MD60022445
WA
208M00000X
Hospitalist Physician
Primary
MD60022445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001219
—
WA
01
—
52209962
BCBS OF GA
GA
05
—
734567224B
—
GA
Enumeration date
08/31/2006
Last updated
04/15/2024
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