DR. THEODROS SEYOUM M.D. NPI 1558672428

NPI Information

  • NPI: 1558672428
  • Provider Name: DR. THEODROS SEYOUM, M.D.
  • Classification: Preventive Medicine - 2083P0901X
  • Specialization: Public Health & General Preventive Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 295 FLATBUSH AVENUE EXT FL 4
    BROOKLYN, NY
    ZIP 11201
  • Phone: (718) 249-1425

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NPI Details

DR. Theodros Seyoum, M.D. is a public health and general preventive medicine preventive medicine in Brooklyn, NY with 16 years of experience. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. DR. Theodros Seyoum, M.D. NPI is 1558672428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

295 FLATBUSH AVENUE EXT FL 4
BROOKLYN, NY
ZIP 11201-001
Phone: (718) 249-1425
Fax: (718) 249-1488

The NPI 1558672428 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/25/2010 and was last updated on 9/25/2024.

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
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine286523NEW YORKNo
22083P0901XPreventive MedicinePublic Health & General Preventive Medicine25MA10075600NEW JERSEYYes

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: 11/21/2025

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