Individual
SAMSON N/A MAKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
765 KENILWORTH TER NE, WASHINGTON, DC 20019-1898
(202) 469-4699
Mailing address
2740 HUNTERGATE TERRACE, SILVER SPRING, MD 20904
(510) 508-6893
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD210001506
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2018
Last updated
01/27/2022
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