Individual provider · NPI-1
Dr. Betheal Gebrehiwot Aschenaki, M.D.
Hospitalist · Humble, TX
NPI number1992191050
StatusActive
Last updated in NPPESJan 24, 2025
Details
- NPI
- 1992191050
- Entity type
- Individual (NPI-1)
- Name
- Dr. Betheal Gebrehiwot Aschenaki
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2015
- Certification date
- Jan 24, 2025
- Last updated
- Jan 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | V1934 | TX | Yes |
| 207Q00000X | Family Medicine | MD-45866 | IA | |
| 207Q00000X | Family Medicine | V1934 | TX | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OH |
Practice location
18951 N Memorial Dr Ste 103wHumble, TX 77338-4217
Phone 713-338-6054
Mailing address
3911 Vineyard DrHouston, TX 77082-2844
Phone 832-310-7566
Other practice locations
1227 E Rusholme St
Davenport, IA 52803-2459
Davenport, IA 52803-2459
Phone 563-421-3122
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