TIGIST HAILESELASSIE, PA
Physician Assistant - Medical
Active
Individual
NPI: 1336681105
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | C0006033 (MD) |
Frequently Asked Questions
NPI 1336681105 is the National Provider Identifier for TIGIST HAILESELASSIE, PA, a Physician Assistant - Medical provider located in Laurel, MD. This NPI was enumerated on November 10, 2016.
TIGIST HAILESELASSIE, PA practices at 3357B CORRIDOR MARKETPLACE, Laurel, MD 20724.
Quick Facts
- NPI
- 1336681105
- Type
- Individual
- Enumerated
- Nov 10, 2016
- Last Updated
- Dec 2, 2025
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