Individual
MENESHENSH MAAZU TADESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST STE 4226, TOWSON, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3201
(202) 741-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D83691
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987803300
—
MD
Enumeration date
03/28/2013
Last updated
07/21/2022
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