Provider Demographics
NPI:1316332703
Name:BERHANE, FIREHIWOT (MD)
Entity type:Individual
Prefix:
First Name:FIREHIWOT
Middle Name:
Last Name:BERHANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 S INTERSTATE 35 E
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-6850
Mailing Address - Country:US
Mailing Address - Phone:940-384-3535
Mailing Address - Fax:
Practice Address - Street 1:3409 WORTH ST STE 420
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2052
Practice Address - Country:US
Practice Address - Phone:214-820-2346
Practice Address - Fax:214-820-9818
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT1298207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty