Individual
GERMAME HAILEGIORGIS AJEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8081 INNOVATION PARK DR, FAIRFAX, VA 22031-4867
(571) 472-4724
(571) 472-0241
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6105
GA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
0101277467
VA
207RH0003X
Hematology & Oncology Physician
75725
GA
Other
Enumeration date
06/10/2013
Last updated
06/22/2023
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