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Contact Information

TADESSE K DEBELE, MD, MS
4900 W CRAIG RD
LAS VEGAS, NV89130-2737
 Phone: 252-693-3687
 Fax: 725-293-5350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for TADESSE K DEBELE · (Male)

NPI # 1164999660
Status Active
Credentials MD, MS
Entity Individual
Enumeration date 11/01/2018
Last updated 08/16/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # R7887
  • AZ License # R78887
  • NV License # 26094
  • NV License # PA2058
  • NV Medicaid 1164999660
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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