Individual
DR. RUSSOM BARIAGHABER GHEBRAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-7077
(202) 574-7156
Mailing address
10533 PENNYDOG LN, SILVER SPRING, MD 20902-4161
(301) 502-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD035237
DC
Other
Enumeration date
10/29/2006
Last updated
12/05/2015
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