Individual
DR. GEBREHIWOT GEBRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2000
Mailing address
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218-2829
(410) 554-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0047701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
758599 03
BLUE SHIELD
MD
01
—
P00433605
RAILROAD MEDICARE
MD
Enumeration date
03/16/2006
Last updated
03/03/2008
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