Provider Demographics
NPI:1548573330
Name:BINIAM K HAILEAB
Entity Type:Organization
Organization Name:BINIAM K HAILEAB
Other - Org Name:WASHINGTON RENAL CONSULTANT
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BINIAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:HAILEAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-315-0696
Mailing Address - Street 1:1 DUPONT CIR NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-1110
Mailing Address - Country:US
Mailing Address - Phone:202-315-0696
Mailing Address - Fax:202-315-0696
Practice Address - Street 1:1 DUPONT CIR NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-1110
Practice Address - Country:US
Practice Address - Phone:202-315-0696
Practice Address - Fax:202-315-0696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment