Individual
MR. ASRESAHGN M GETACHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 MERCANTILE LN, SUITE 180, LARGO, MD 20774-5341
(301) 925-7022
(301) 925-4463
Mailing address
1400 MERCANTILE LN, SUITE 180, LARGO, MD 20774-5341
(301) 925-7022
(301) 925-4463
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D0042804
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
651191100
—
MD
Enumeration date
12/18/2006
Last updated
03/17/2018
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