Individual
DR. SEBLU ZERA-YOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 328-2882
(410) 328-7607
Mailing address
PO BOX 64442, BALTIMORE, MD 21264-4442
(410) 328-2882
(410) 328-7607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0050480
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413370600
—
MD
01
—
491110
PROVIDER NUMBER
MD
Enumeration date
01/12/2007
Last updated
04/28/2015
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