Provider Demographics
NPI:1255336962
Name:BERHANE, TSION (MD)
Entity type:Individual
Prefix:DR
First Name:TSION
Middle Name:
Last Name:BERHANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 MISSION HILLS CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-8020
Mailing Address - Country:US
Mailing Address - Phone:410-997-5944
Mailing Address - Fax:443-445-3392
Practice Address - Street 1:604 MISSION HILLS CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-8020
Practice Address - Country:US
Practice Address - Phone:410-997-5944
Practice Address - Fax:443-445-3392
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00557032086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD003501700Medicaid
MDGS3108342OtherMAMSI GEN'L SURGERY
MDCC2108342OtherMAMSI CRITICAL CARE
MDKS04 M560Medicare PIN
MDCC2108342OtherMAMSI CRITICAL CARE
H36361Medicare UPIN
MD003501700Medicaid