Individual
DR. HABTAMU DABA GIDUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101260070
VA
207R00000X
Internal Medicine Physician
201401636
NC
208M00000X
Hospitalist Physician
Primary
0101260070
VA
Other
Enumeration date
07/16/2011
Last updated
08/12/2025
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