Individual
GETACHEW MENGISTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3773
(443) 481-1000
(443) 481-1687
Mailing address
1113 W NOLCREST DR, SILVER SPRING, MD 20903-1043
(240) 863-8756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D086150
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2015
Last updated
12/01/2018
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