Individual
SOLOMON D BAGAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8640 SUDLEY RD STE 302, MANASSAS, VA 20110-4404
(703) 369-5959
Mailing address
PO BOX 748613, ATLANTA, GA 30374-8613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
001293
NY
207RC0000X
Cardiovascular Disease Physician
Primary
0101230219
VA
207RC0000X
Cardiovascular Disease Physician
35.128475
OH
Other
Enumeration date
07/14/2006
Last updated
01/22/2026
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