Individual
MAHTEME SELASSIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7910 WOODMONT AVE, STE 460, BETHESDA, MD 20814-3066
(301) 934-8811
(301) 934-9321
Mailing address
7910 WOODMONT AVE, STE 460, BETHESDA, MD 20814-3066
(301) 934-8811
(301) 934-9321
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04944
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141971
VALUE OPTIONS
MD
01
—
2129679
MAMSI/ALLIANCE
MD
01
—
567898
NCPPO
MD
01
—
583BMA
BLUE CROSS
MD
01
—
M5790001
BLUE CROSS
DC
Enumeration date
06/24/2005
Last updated
07/08/2007
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