Individual
DR. WONDAYA TAMENE DEBEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5801 BREMO ROAD, RICHMOND, VA 23226-1907
(804) 287-7270
(804) 285-0726
Mailing address
5801 BREMO ROAD, RICHMOND, VA 23226-1907
(804) 287-7270
(804) 285-0726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101249750
VA
208M00000X
Hospitalist Physician
0101249750
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06778
GROUP PTAN
VA
Enumeration date
01/20/2011
Last updated
07/08/2022
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