Individual
EYOEL YOHANNES FANTAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20410 OBSERVATION DR STE 210, GERMANTOWN, MD 20876-6422
(301) 407-1466
Mailing address
20410 OBSERVATION DR STE 210, GERMANTOWN, MD 20876-6422
(301) 407-1466
(301) 417-4941
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0102163
MD
Other
Enumeration date
04/09/2022
Last updated
10/01/2025
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