Feyssa, Eyob L
Feyssa, Eyob L is an individual health care provider with primary practice located at 5401 Old York Rd Klein Suite 505, Philadelphia PA 19141-3030. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hepatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Feyssa, Eyob L can be contacted via phone (215) 456-8242.Contact Information
Primary practice address
5401 Old York Rd Klein Suite 505
Philadelphia PA 19141-3030
Phone: (215) 456-8242
Fax: (215) 456-8058
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | M5704 | Texas |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | 25MA08117400 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD430800 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD430800 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hepatology | 207RI0008X | MD430800 | Pennsylvania |
Profile Details
| NPI number | 1184779415 |
|---|---|
| LBN Legal business name | Feyssa, Eyob L |
| Credentials | MD, MPH, FACP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Mar 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184779415 | NPPES |
| Pennsylvania | MEDICAID | 101978752 |
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