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Individual

DR. EYASSU ZENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1150 VARNUM ST NE, WASHINGTON, DC 20017-2104
(202) 854-4470
(202) 854-4471
Mailing address
1150 VARNUM STREET, NE, ST. CATHERINE HALL/1ST FL/RM 102, WASHINGTON, DC 20017-2104
(202) 854-4812
(202) 854-7825

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101233763
VA
207L00000X
Anesthesiology Physician
Primary
MD33911
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00635689
RAILROAD MEDICARE PTAN
DC
Enumeration date
09/20/2006
Last updated
11/22/2021
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