Individual
LEELIE M SELASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
INOVA FAIRFAX HOSPITAL/ PHYSICIAN BILLING, 3300 GALLOWS ROAD, FALLS CHURCH, VA 22042-3300
(703) 776-2545
(703) 776-2917
Mailing address
INOVA FAIRFAX HOSPITAL/ PHYSICIAN BILLING, 3300 GALLOWS ROAD, FALLS CHURCH, VA 22042-3300
(703) 776-2545
(703) 776-2917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236721
VA
207R00000X
Internal Medicine Physician
34875
WV
Other
Enumeration date
07/24/2007
Last updated
07/30/2025
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