Individual
MEKDELAWIT TADESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201-1756
(240) 350-2854
Mailing address
520 W FAYETTE ST STE 300, BALTIMORE, MD 21201-1756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010028
MD
Other
Enumeration date
09/17/2024
Last updated
09/18/2025
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