DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ASFAWOSSEN B ASFAW, MD

Active

MR. ASFAWOSSEN B ASFAW, MD is a Pediatric Critical Care Medicine healthcare provider located in MYRTLE BEACH, South Carolina. NPI 1528364213 is currently active in the NPPES registry. Verify at CMS.

Pediatric Critical Care Medicine · MYRTLE BEACH, SC

Registration Details

NPI Number
1528364213
Provider Type
Individual
Gender
Male
NPI Issued
Jan 28, 2011 (15.572623158236 yrs)
Last Updated
Aug 1, 2025
Licenses
TL38364 (SC)
MD38364 (SC)

Practice Information

Address
809 82ND PARKWAY
GRAND STAND REGIONAL MEDICAL CENTER
MYRTLE BEACH, SC, 29572
Browse SC providers · Browse ZIP 29572
Phone
8436921750
Fax
9548511746
Primary Specialty
Pediatric Critical Care Medicine
2080P0203X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.