| NPI | 1124642889 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2020-05-28 |
| Last Updated | 2024-06-26 |
| Mailing Address | 3158 W Master St Philadelphia, PA 19121-4423 United States Phone: (202) 520-6532 📍 View Map |
| Primary Practice Address | 1700 Coffee Rd Modesto, CA 95355-2803 United States Phone: (209) 526-4500 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 390200000X – Student in an Organized Health Care Education/Training Program | PA | MT220191 |
| Yes | 207R00000X – Internal Medicine | CA | A195369 |
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About NPI 1124642889
Dawit Tesfay Haile MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124642889. The primary specialty listed is Internal Medicine. The provider is located in Modesto, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2020-05-28. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1124642889?
NPI 1124642889 belongs to Dawit Tesfay Haile MD, a Internal Medicine in Modesto, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1124642889 active?
The current status of NPI 1124642889 in the NPPES registry is Active. The record was last updated on 2024-06-26.
What specialty is NPI 1124642889?
NPI 1124642889 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1124642889?
You can verify NPI 1124642889 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1124642889?
The primary practice address on file for NPI 1124642889 is 1700 Coffee Rd, Modesto, CA 95355-2803. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1124642889 issued?
NPI 1124642889 was first issued (enumerated) on 2020-05-28. The NPPES record was last updated on 2024-06-26.
Practice Location Map
Dawit Tesfay Haile is located at 1700 Coffee Rd, Modesto, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Dawit Tesfay Haile. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1124642889. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | MT220191 | PA |
| Internal Medicine | A195369 | CA |