Individual provider · Type 1 NPI

Tigist Woldegebrial Haileselassie, PA

Medical Physician Assistant · Laurel, MD

NPI number 1336681105 Active

Practice location

3357B Corridor Marketplace
Laurel, MD 20724-2381

Mailing address

4903 Georgia Ave NW
Washington, DC 20011-4525

Other practice locations

  • 7225 Hanover Pkwy, A, Greenbelt, MD 20770-2024 · (301) 345-1400

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0006033 (MD)

Medical Physician Assistant: Definition to come...

18 other providers at this address

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About NPI 1336681105

Tigist Woldegebrial Haileselassie, PA's National Provider Identifier is 1336681105, issued on Nov 10, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Laurel, MD. The record was last updated on Dec 2, 2025.