Mr. Bereketeab Haileselassie

Pediatrics | Male

Mr. Bereketeab Haileselassie is a Palo Alto, California based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mr. Bereketeab Haileselassie is 725 Welch Rd, Palo Alto, California - 94304-1601. He can be contacted on phone at 650-497-8000. Mr. Bereketeab Haileselassie is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Bereketeab Haileselassie is 1295059996 which was assigned by NPPES on 24 Mar, 2010 and it was last updated on 02 Aug, 2016. Mr. Bereketeab Haileselassie license number is A143395 for Pediatrics (208000000X) in California.
Mr. Bereketeab Haileselassie is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Bereketeab Haileselassie basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mr. Bereketeab Haileselassie
Gender :Male
Business Address:
Mr. Bereketeab Haileselassie address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :725 Welch Rd
Palo Alto, CA, 94304-1601
United States
Phone Number :650-497-8000
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1295059996
NPI Entity Type : Individual
First Enrolment Date : 24 Mar, 2010
Last Updated On : 02 Aug, 2016
Medicare Participation:
Mr. Bereketeab Haileselassie participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :2163718172
Medicare Enrollment ID :I20160830003101
Primary Specialty :Pediatric Medicine
Medical School :University Of Missouri, Kansas City, School Of Medicine
Graduation Year :2010
Accepts Medicare?Yes. Mr. Bereketeab Haileselassie accepts medicare insurance.
Group Practice Association:
Mr. Bereketeab Haileselassie is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Bereketeab Haileselassie is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
Lpch Medical Group Div Of Lucile0840298543226725 Welch Rd
Palo Alto, CA - 943041601
Ph: 6504987200
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Bereketeab Haileselassie are as mentioned. Primary taxonomy code for Mr. Bereketeab Haileselassie is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsNo60157762WA
208000000XPediatricsYesA143395CA
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :1804 Embarcadero Rd, Suite 100
Palo Alto, CA, 94303-3341
United States
Business Location:
Patients can refer following map for directions to Mr. Bereketeab Haileselassie practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.