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Individual

MENBERE BAHRU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(843) 237-3378
(843) 237-5073
Mailing address
2 UNIVERSITY PLZ STE 204, HACKENSACK, NJ 07601-6211
(551) 295-8223

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101240774
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010387329
VA
01
248474
BLUE CROSS BLUE SHIELD
VA
05
3810007305
WV
01
P00377575
RAILROAD MEDICARE
VA
Enumeration date
11/15/2006
Last updated
09/11/2025
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