Individual
MR. GEBREMEDHIN YOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 FOREST GLEN RD, KAISER OFFICE, SILVER SPRING, MD 20910-1483
(703) 359-7460
(301) 754-7127
Mailing address
1500 FOREST GLEN RD, KAISER OFFICE, SILVER SPRING, MD 20910-1483
(703) 359-7460
(301) 754-7127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101222995
VA
207R00000X
Internal Medicine Physician
Primary
D55475
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010222265
—
VA
01
—
184410
BCBS ANTHEM
VA
01
—
496675
MDIPA OPTIMUM CHOICE
VA
01
—
8505
KAISER PERMANENTE
VA
Enumeration date
06/04/2006
Last updated
12/29/2021
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