Basic Information
| Provider Information | |||||||||
| NPI: | 1184155012 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MENGISTE | ||||||||
| FirstName: | HIWOT | ||||||||
| MiddleName: | ABEBE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | HOWARD UNIVERSITY HOSPITAL | ||||||||
| Address2: | 2041 GEORGIA AVENUE NW, 5C-26 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3017929444 | ||||||||
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| Practice Location | |||||||||
| Address1: | HOWARD UNIVERSITY HOSPITAL | ||||||||
| Address2: | 2041 GEORGIA AVENUE NW, 5C-26 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200600001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028651924 | ||||||||
| FaxNumber: | 2028657199 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/22/2017 | ||||||||
| LastUpdateDate: | 03/22/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.