Individual
HEIWOT D TILAHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10628 HEATHER GLEN WAY, BOWIE, MD 20720-4297
(301) 520-6689
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-2171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NP1012262
DC
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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