Eyassu Habte-Gabr, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

4301051570 Issued in MI

Practice address

Two Hurley Plaza
Suite 109
Flint, MI 48504

Phone

(810) 762-5354

Fax

(810) 762-7243

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1366593360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 S LINDEN RD",
            "address_2": "SUITE 150",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323421",
            "telephone_number": "810-732-3240",
            "fax_number": "810-230-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TWO HURLEY PLAZA",
            "address_2": "SUITE 109",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48504",
            "telephone_number": "810-762-5354",
            "fax_number": "810-762-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABTE-GABR",
        "first_name": "EYASSU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MI",
            "license": "4301051570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1830320",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Louise Haase-Vervaeke, D.D.S.
• Rebecca Haataja
• Janice Mary Habarth, PH.D.
• Dania Habeck
• Maria Cristina Haber
• Katherine Haburne
• Tracy L Hacker, RAC
• Stephanie Lynn Hackney
• Gizelle Haddad
• Hadeel Emad Haddad

• Infectious Disease Physician in Flint, MI
• Providers in Flint, MI by specialty
• Infectious Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.