Individual
FISSEHA BAYOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4453
(540) 751-1100
Mailing address
585 SCHENECTADY AVE, BROOKLYN, NY 11203-1851
(718) 604-5401
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101264148
VA
Other
Enumeration date
04/07/2015
Last updated
04/15/2020
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