Individual
ATITEGEB TIBEBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6845 ELM ST STE 710, MC LEAN, VA 22101-3851
(703) 205-2626
(703) 205-7323
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5741
(301) 627-1603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101840610
VA
207R00000X
Internal Medicine Physician
D0053643
MD
Other
Enumeration date
12/15/2006
Last updated
12/05/2022
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