SELEMON MULUALEM WALLE M.D.
NPI 1235825142
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 13, 2023
3400 SPRUCE STREET, PHILADELPHIA, PA 19104(215) 662-4829 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 13, 2023, Apr 13, 2023 (2 updates tracked since 2023).

About Selemon Mulualem Walle M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELEMON MULUALEM WALLE M.D. (NPI 1235825142) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in (MT229233) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1235825142
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSELEMON MULUALEM WALLECredential: M.D.
Location Address3400 SPRUCE STREETPhiladelphia, PA 19104
Mailing Address3400 Spruce StreetPhiladelphia, PA 19104 · (215) 662-4829
Sole ProprietorNo
Enumeration DateApril 13, 2023
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
NPI 1235825142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed · MT229233
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3400 SPRUCE STREET, Philadelphia, PA 19104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Critical Care Medicine)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104
Surgery (Surgical Critical Care)
3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104
Radiology (Diagnostic Radiology)
3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104
Obstetrics & Gynecology
3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104
Emergency Medicine
3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Neurology)
3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selemon Walle's NPI number?

The NPI number for Selemon Walle is 1235825142. It was assigned to this individual provider in the NPPES registry on April 13, 2023.

Where is Selemon Walle located?

Selemon Walle practices at 3400 Spruce Street, Philadelphia, PA 19104. The listed phone number is (215) 662-4829.

What is Selemon Walle's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Selemon Walle was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.