Provider Demographics
NPI:1659265312
Name:BELAY, HIWOT
Entity type:Individual
Prefix:MRS
First Name:HIWOT
Middle Name:
Last Name:BELAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:362 RINDGE AVE # 8M
Mailing Address - Street 2:362 RINDGE AVE # 8M
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140
Mailing Address - Country:US
Mailing Address - Phone:774-249-9704
Mailing Address - Fax:781-885-7311
Practice Address - Street 1:362 RINDGE AVE # 8M
Practice Address - Street 2:362 RINDGE AVE # 8M
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140
Practice Address - Country:US
Practice Address - Phone:774-249-9704
Practice Address - Fax:781-885-7311
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-06
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACNA-134956251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health