Provider Demographics
NPI:1285996983
Name:SESABA, KASSAYE TILAHUN (MD)
Entity type:Individual
Prefix:DR
First Name:KASSAYE
Middle Name:TILAHUN
Last Name:SESABA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 IRVING ST, NW
Mailing Address - Street 2:MEDSTAR CARDIOVASCULAR RESEARCH NETWORK, WASHINGTON HOS
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-0000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING ST, NW
Practice Address - Street 2:MEDSTAR CV RESEARCH NETWORK,
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-0000
Practice Address - Country:US
Practice Address - Phone:202-877-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-09
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study