Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Haileleoul Desta Erbello, PA

Individual provider Medical Physician Assistant · NPI 1760786172

Haileleoul Desta Erbello, PA is a Medical Physician Assistant in Laurel, Maryland. Licensed in District of Columbia and Maryland. Registered with an NPI since 2010.

Licensed in
DC, MD
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8118 Gorman Ave Apt # 104
Laurel, MD 20707
Phone: (202) 723-4448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA030586 (DC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence C0003952 (MD)

Record details

NPI number1760786172
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 28, 2010
Last updated in NPPESDecember 28, 2010

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