Desta, Hiwot B

Desta, Hiwot B is an individual health care provider with primary practice located at 19455 Deerfield Ave Suite 201, Lansdowne VA 20176-8446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Desta, Hiwot B can be contacted via phone (703) 723-3670.

Contact Information

Primary practice address
19455 Deerfield Ave Suite 201 Lansdowne VA 20176-8446
Phone: (703) 723-3670
Fax: (703) 723-8336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0101236951 Virginia

Profile Details

NPI number 1558321091
LBN Legal business name Desta, Hiwot B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 27th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558321091 NPPES
Other 015976C69 DC MEDICARE
Other 161650640 DC MEDICARE
Other 3697025 DC MEDICARE
Other 7926400 DC MEDICARE
Other 243209 DC MEDICARE
Other 171762 DC MEDICARE
Other 2108755 DC MEDICARE
Other 283656 DC MEDICARE
Other H9900002 DC MEDICARE
MEDICAID 010112109 DC MEDICARE
Other 2101256 DC MEDICARE

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