Taddesse, Abay Tassew
Taddesse, Abay Tassew is an individual health care provider with primary practice located at 4001 Coliseum Dr Ste 310 , Hampton VA 23666-6257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Taddesse, Abay Tassew can be contacted via phone (757) 827-2115.Contact Information
Primary practice address
4001 Coliseum Dr Ste 310
Hampton VA 23666-6257
Phone: (757) 827-2115
Fax: (757) 510-9383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 35097654 | Ohio |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 0101257190 | Virginia |
Profile Details
| NPI number | 1275747891 |
|---|---|
| LBN Legal business name | Taddesse, Abay Tassew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Aug 20th, 2025 - about last year |
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 | 1275747891 | NPPES |
| Virginia | MEDICAID | 1275747891 |
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