Tegest Hailu, MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A60221 Issued in CA

Legal business name

TEGEST HAILU, MD INC

Practice address

7011 N Howard St
Suite 202
Fresno, CA 93720-2955

Phone

(559) 438-0555

Fax

(559) 447-4495

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tegest F Hailu, MD

Title

President

Phone

(559) 438-0555

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1568735306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "SUITE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-438-0555",
            "fax_number": "559-447-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "SUITE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-438-0555",
            "fax_number": "559-447-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEGEST HAILU, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "HAILU",
        "authorized_official_first_name": "TEGEST",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-438-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A60221",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura A Teasley, MD
• Irma Cuahtenango Tecomulapa, BT
• Randi Tedford, MA, RD
• Tilksew A Tedla
• Teen Harbor
• Tehipite Middle School
• Paris Tehrani
• Benjamin J Teitelbaum, MD
• Kelly P Teitzel, CRNA
• Fernando Jose Teixeira

• Family Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.