| Misrak Tadesse, MD | |
|
5755 Cedar Ln, Hcgh Nicu, Columbia, MD 21044-2912 | |
| (410) 740-7557 | |
| Not Available |
| Full Name | Misrak Tadesse |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 5755 Cedar Ln, Columbia, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245241033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | D0046199 (Maryland) | Primary |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1629732805 PECOS PAC ID: 4981745098 Enrollment ID: O20211213001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Misrak Tadesse, MD Po Box 64208, Baltimore, MD 21264-4208 Ph: (443) 828-0442 | Misrak Tadesse, MD 5755 Cedar Ln, Hcgh Nicu, Columbia, MD 21044-2912 Ph: (410) 740-7557 |
Dr. Pamela Jane Compart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9145 Guilford Road, Suite 100, Columbia, MD 21046 Phone: 410-880-4215 Fax: 410-880-4192 | |
Dr. Alice H Tsai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6350 Stevens Forest Rd, Suite 103, Columbia, MD 21046 Phone: 443-259-3770 Fax: 443-259-3775 | |
Dr. Susan J Gleazer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5500 Knoll North Drive, Ste 110, Columbia, MD 21045 Phone: 410-964-6300 Fax: 410-964-6227 | |
Dr. Monique Soileau-burke, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5900 Waterloo Rd, Suite 110, Columbia, MD 21045 Phone: 443-451-1614 Fax: 443-451-1619 | |
Dr. Michele M Mcewan, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5900 Waterloo Rd, Suite 110, Columbia, MD 21045 Phone: 443-451-1614 Fax: 443-451-1619 | |
Dr. Aruna V Khurana, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10804 Hickory Ridge Rd, Columbia, MD 21044 Phone: 410-997-8200 Fax: 410-997-8474 | |
Dr. David Joseph Monroe, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5755 Cedar Ln, Howard County General Hospital, Columbia, MD 21044 Phone: 410-884-4888 |