Individual
SAMSON ASSEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP RM O6.201, FORT BELVOIR, VA 22060-5285
(571) 231-4863
Mailing address
9300 DEWITT LOOP RM O6.201, FORT BELVOIR, VA 22060-5285
(571) 231-4863
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0076214
MD
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
0101256126
VA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D0076214
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422741700
—
MD
01
—
S062-0556
CAREFIRST BC/BS
MD
Enumeration date
04/10/2012
Last updated
12/12/2022
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