# MAHTEME SELASSIE, MDPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mahteme Selassie, MDPA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801855697
- **Authorized official:** DR. MAHTEME SELASSIE MD (OWNER)
- **Authorized official phone:** (301) 656-9520

## Contact information

- **Practice address:** 7910 WOODMONT AVE, SUITE 460, BETHESDA, MD 20814-3002
- **Practice address phone:** (301) 656-9520
- **Practice address fax:** (301) 718-3633
- **Mailing address:** 7910 WOODMONT AVE, SUITE 460, BETHESDA, MD 20814-3002
- **Mailing address phone:** (301) 656-9520
- **Mailing address fax:** (301) 718-3633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | D0052686 | MD | Yes |

## Other

- **Enumeration date:** 03/21/2006
- **Last updated:** 11/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | D0052686 | STATE LICENSE | MD |
| 01 | — | M44625 | CDS | MD |