Individual
DR. HABTEMARIAM MEKONEN ANSERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3701 S GEORGE MASON DR, SUITE C-1-N, FALLS CHURCH, VA 22041-3758
(571) 431-6426
(571) 431-6428
Mailing address
3701 S GEORGE MASON DR UNIT C1N, FALLS CHURCH, VA 22041-4722
(571) 431-6426
(571) 431-6428
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101246339
VA
207V00000X
Obstetrics & Gynecology Physician
D0067614
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019352600
—
MD
05
—
1417117201
—
VA
Enumeration date
06/15/2008
Last updated
09/14/2019
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