Organization
ABYSSINIA MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELAT BAYE (MANAGING DIRECTOR)
(703) 944-7580
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE STE 200, ALEXANDRIA, VA 22304-1306
(703) 957-9749
Mailing address
4660 KENMORE AVE STE 200, ALEXANDRIA, VA 22304-1306
(703) 957-9749
(703) 717-0578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
06/20/2020
Last updated
02/17/2021
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