HAILELEOUL DESTA ERBELLO PA
NPI 1760786172
Physician Assistant - Medical in Laurel, MD

Active since December 28, 2010
8118 GORMAN AVE, APT # 104, LAUREL, MD 20707(202) 723-4448 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Haileleoul Desta Erbello Pa NPPES

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

HAILELEOUL DESTA ERBELLO PA (NPI 1760786172) is an individual medical provider in Laurel, Maryland, licensed in District Of Columbia (PA030586) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1760786172
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameHAILELEOUL DESTA ERBELLOCredential: PA
Location Address8118 GORMAN AVE, APT # 104Laurel, MD 20707
Mailing Address8118 Gorman Ave Apt 104Laurel, MD 20707-2536 · (202) 723-4448 · Fax (202) 723-4494
Sole ProprietorNo
Enumeration DateDecember 28, 2010
NPI 1760786172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in DC · PA030586 Licensed in MD · C0003952
8118 GORMAN AVE, Laurel, MD 20707

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 Haileleoul Erbello's NPI number?

The NPI number for Haileleoul Erbello is 1760786172. It was assigned to this individual provider in the NPPES registry on December 28, 2010.

Where is Haileleoul Erbello located?

Haileleoul Erbello practices at 8118 Gorman Ave Apt # 104, Laurel, MD 20707. The listed phone number is (202) 723-4448.

What is Haileleoul Erbello's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Haileleoul Erbello was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.