ETSEGENET F. TIZAZU M.D. NPI 1922481746

NPI Information

NPI: 1922481746
Provider Name: ETSEGENET F. TIZAZU, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: CHRISTIANA CARE HEALTH SERVICES INC

PECOS Registration: Yes

Address:
200 HYGEIA DR STE 1420
NEWARK, DE
ZIP 19713
Phone: (302) 623-3017
Get Directions

Etsegenet F. Tizazu, M.D. is a neurology psychiatry neurology in Newark, DE with 9 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Etsegenet F. Tizazu, M.D. NPI is 1922481746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

200 HYGEIA DR STE 1420
NEWARK, DE
ZIP 19713-049
Phone: (302) 623-3017
Fax: (302) 266-9960

The NPI 1922481746 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 6/30/2015 and was last updated on 3/30/2021.

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	2084N0400X	Psychiatry & Neurology	Neurology	C1-0024150	DELAWARE	Yes
2	2084N0400X	Psychiatry & Neurology	Neurology	MD467286	PENNSYLVANIA	No

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	1922481746	OTHER	MICHIGAN	ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM

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: 11/14/2023

NPI Synchronization or Removal

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