Individual
DR. MULETA TADESSE OBSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6990 COLUMBIA GATEWAY DR, SUITE 350, COLUMBIA, MD 21046-2953
(410) 872-8590
(410) 872-0141
Mailing address
75 E WAYNE AVE, APT # 406, SILVER SPRING, MD 20901-4263
(301) 585-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0065582
MD
Other
Enumeration date
07/09/2007
Last updated
07/09/2007
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