# SOLOMON FEYISSA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881966851
- **Authorized official:** DR. SOLOMON ALEMU FEYISSA M.D. (GENERAL MANAGER)
- **Authorized official phone:** (240) 294-6536

## Contact information

- **Practice address:** 14740 4TH ST, APT 415, LAUREL, MD 20707-3718
- **Practice address phone:** (240) 294-6536
- **Practice address fax:** (240) 294-7235
- **Mailing address:** 14740 4TH ST, APT 415, LAUREL, MD 20707-3718
- **Mailing address phone:** (240) 294-6536
- **Mailing address fax:** (240) 294-7235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | D070500 | MD | Yes |

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012