Provider Demographics
NPI:1851626428
Name:DR. TSION BERHANE
Entity Type:Organization
Organization Name:DR. TSION BERHANE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TSION
Authorized Official - Middle Name:
Authorized Official - Last Name:BERHANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-997-5944
Mailing Address - Street 1:604 MISSION HILLS CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-8020
Mailing Address - Country:US
Mailing Address - Phone:410-997-5944
Mailing Address - Fax:443-445-3392
Practice Address - Street 1:604 MISSION HILLS CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-8020
Practice Address - Country:US
Practice Address - Phone:410-997-5944
Practice Address - Fax:443-445-3392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD490887Medicare PIN