Individual
MEDHANE TESFAMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
733 S FREDERICK AVE, GAITHERSBURG, MD 20877-4118
(130) 186-9070
Mailing address
12910 GRIFFIN CIR, CLARKSBURG, MD 20871-9245
(240) 722-9056
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
R0014611
MD
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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