Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAILELEOUL DESTA ERBELLO, PA
ActiveHAILELEOUL DESTA ERBELLO, PA is a Medical Physician Assistant healthcare provider located in LAUREL, Maryland. NPI 1760786172 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · LAUREL, MD
Registration Details
- NPI Number
- 1760786172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2010 (15.616314207952 yrs)
- Last Updated
- Dec 28, 2010
- Licenses
-
PA030586 (DC)C0003952 (MD)
Practice Information
- Address
-
8118 GORMAN AVEAPT # 104LAUREL, MD, 20707Browse MD providers · Browse ZIP 20707
- Phone
- 2027234448
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in LAUREL, MD
| Name | Credential | NPI |
|---|---|---|
| TANYA REGINE PALLIA | PA-C | 1144269069 |
| ELLIOTT M. WHITKEN | PA-C | 1255377685 |
| BETH L PASCAL | PA-C | 1740294669 |
| SAMANTHA FREE | PA | 1639345754 |
| AMY ELAINE REISMAN | PA-C | 1558522334 |
| EMERSON YANG CHANG | PA-C | 1710127741 |
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.