Individual
MR. BEMNET ZELEKE ZELEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7 POST OFFICE RD # 7C, WALDORF, MD 20602-2744
(301) 645-8322
(301) 645-6229
Mailing address
6512 OLD CARRIAGE DR, ALEXANDRIA, VA 22315-5036
(703) 229-2094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0004705
MD
363AS0400X
Surgical Physician Assistant
Primary
C04705
MD
Other
Enumeration date
02/16/2012
Last updated
10/07/2014
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