Individual
FISEHATSION G MEHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15225 SHADY GROVE RD STE 103, ROCKVILLE, MD 20850-3252
(301) 977-9959
(301) 977-9958
Mailing address
2315 HENSLOWE DR, POTOMAC, MD 20854-2951
(301) 802-9353
(301) 977-9958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0064478
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J443-0016
CAREFIRST BLUE SHIELD
DC
Enumeration date
06/15/2006
Last updated
07/26/2021
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