Individual
MEBRATU DABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4348 ELECTRIC RD, ROANOKE, VA 24018-0720
(540) 769-0976
(540) 587-5392
Mailing address
102 HIGHLAND AVE SE STE 104, ROANOKE, VA 24013-2255
(540) 985-8147
(540) 985-8435
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101264832
VA
Other
Enumeration date
05/06/2015
Last updated
11/05/2021
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