Individual
DAGMAWI DEREJE WALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
2041 GEORGIA AVE NW, WASHINGTON, DC 20060-0002
(202) 865-6100
Mailing address
4676 SHUMATE DR, STONE MOUNTAIN, GA 30083-6109
(404) 418-2852
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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