Minale Desta, M.D.
Internal Medicine in Tyler, TX. Individual provider (NPI-1).
NPI number1477948701
StatusActive
Last updated in NPPESApr 2, 2020
Details
- NPI
- 1477948701
- Entity type
- Individual (NPI-1)
- Name
- Minale Desta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2015
- Certification date
- Apr 2, 2020
- Last updated
- Apr 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R6380 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
800 E Dawson StTyler, TX 75701
Phone 903-593-8441
Mailing address
Pox 846098Dallas, TX 75284-6098
Phone 903-324-6400
Other practice locations
585 Schenectady Ave
Brooklyn, NY 11203-1851
Brooklyn, NY 11203-1851
Phone 718-604-5401
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Internal Medicine Physician providers in Tyler, TX
- Enyinnaya Ugochukwu Abarikwu, MDNPI 1174788178
- Nikhil B Acharya, M.DNPI 1780947135
- Advanced WellnessNPI 1427540806
- Rahman Ahmed, DONPI 1912644279
- Kashif Alauddin, M.D.NPI 1659506509
- Muhammad Almas, MDNPI 1962086900
- Melissa Ines Almodovar-Irizarry, M.D.NPI 1639594047
- Richard A. Anderson, MDNPI 1588634257
- Lazel B. Augustus, M.D.NPI 1215008537
- Azalea Internal Medicine Associates PANPI 1366738908
All 173 Internal Medicine Physician providers in Tyler · All 6,843 providers in Tyler
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.