Organization
ASHEBIR WOLDEABEZGI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHEBIR GEBRU WOLDEABEZGI MD (PRESIDENT)
(301) 374-9725
Entity
Organization
Contact information
Practice address
11637 TERRACE DR, SUITE 103, WALDORF, MD 20602-3706
(301) 374-9725
(301) 374-9724
Mailing address
11637 TERRACE DR, SUITE 103, WALDORF, MD 20602-3706
(301) 374-9725
(301) 374-9724
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1419486
AETNA HMO
—
01
—
207251
JOHNS HOPKINS MED SERVICE
—
01
—
2159246
MDIPA
—
01
—
248267
ANTHEM
—
01
—
265824
KAISER PERMANETE
—
01
—
29JGA
BCBS CAREFIRST
MD
01
—
7031
CAREFIRST FEDERAL
—
01
—
7223718
AETNA
—
01
—
DG0925
MEDICARE RAILROAD
—
Enumeration date
09/20/2006
Last updated
04/20/2008
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