| NPI | 1134652258 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-04-05 |
| Last Updated | 2023-11-17 |
| Mailing Address | 5310 Harvest Hill Rd Ste 290 Dallas, TX 75230-5826 United States Phone: (214) 420-0650 📍 View Map |
| Primary Practice Address | 13880 Braddock Rd Centreville, VA 20121-2459 United States Phone: (703) 884-2260 | Fax: (703) 222-6093 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 9673 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 390200000X – Student in an Organized Health Care Education/Training Program | — | — |
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About NPI 1134652258
Kassahun Bilcha MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1134652258. The primary specialty listed is Student in an Organized Health Care Education/Training Program. The provider is located in Centreville, VA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-04-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1134652258?
NPI 1134652258 belongs to Kassahun Bilcha MD, a Student in an Organized Health Care Education/Training Program in Centreville, VA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1134652258 active?
The current status of NPI 1134652258 in the NPPES registry is Active. The record was last updated on 2023-11-17.
What specialty is NPI 1134652258?
NPI 1134652258 is classified under the taxonomy Student in an Organized Health Care Education/Training Program. 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 1134652258?
You can verify NPI 1134652258 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 1134652258?
The primary practice address on file for NPI 1134652258 is 13880 Braddock Rd, Centreville, VA 20121-2459. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1134652258 issued?
NPI 1134652258 was first issued (enumerated) on 2017-04-05. The NPPES record was last updated on 2023-11-17.
Practice Location Map
Kassahun Bilcha is located at 13880 Braddock Rd, Centreville, VA. 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 Kassahun Bilcha. All records sourced from the CMS NPPES registry.