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Organization
YEHEYIS T. NEGUSSIE MD PC
Active
Organization
YEHEYIS T. NEGUSSIE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEHEYIS T. NEGUSSIE M.D. (OWNER)
(301) 565-3440
Entity
Organization
Contact information
Practice address
8604 2ND AVE, SILVER SPRING, MD 20910-3326
(301) 565-3440
(301) 565-3455
Mailing address
13136 BRUSHWOOD WAY, POTOMAC, MD 20854-1025
(301) 565-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0045471
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026730200
—
DC
05
—
200300700
—
MD
Enumeration date
05/24/2007
Last updated
06/16/2018
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