MULUMEBET HAILESELASSIE M.D. NPI 1912991928

NPI Information

NPI: 1912991928
Provider Name: MULUMEBET HAILESELASSIE, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
500 W RIVER DR
DAVENPORT, IA
ZIP 52801
Phone: (563) 336-3000
Get Directions

Mulumebet Haileselassie, M.D. is an obstetrics gynecology in Davenport, IA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Mulumebet Haileselassie, M.D. NPI is 1912991928. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 W RIVER DR
DAVENPORT, IA
ZIP 52801-014
Phone: (563) 336-3000
Fax: (563) 336-3125

The enumeration date for this NPI number is 9/6/2005 and was last updated on 4/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		036-053422	ILLINOIS	No
2	207V00000X	Obstetrics & Gynecology		27414	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1234295	OTHER	IOWA	CONTROLLED SUBSTANCE#
2	8122859	OTHER	ILLINOIS	ILLINOIS BC/BS
3	IA0128	OTHER	IOWA	JOHN DEERE EDI#
4	161801	MEDICARE ID-TYPE UNSPECIFIED	IOWA	MEDICARE UGS
5	AH1663942	OTHER		FEDERAL DEA#
6	421060724002	MEDICAID	ILLINOIS
7	160034528	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD MEDICARE
8	42106072428	OTHER	IOWA	JOHN DEERE HEALTH
9	0080200	MEDICAID	IOWA
10	421060724	OTHER	IOWA	BILLING TAX ID# FOR CHC
11	29146	MEDICARE ID-TYPE UNSPECIFIED	IOWA	IOWA MEDICARE PART B
12	291468	OTHER	IOWA	IOWA BC/BS
13	070573	OTHER		HEALTH ALLIANCE #
14	E67861	MEDICARE UPIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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