Individual
MR. NEGASH AYELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA, VA 22304-1535
(703) 504-3000
(703) 504-7733
Mailing address
2876 GUARDIAN LN, VIRGINIA BEACH, VA 23452-7327
(757) 463-5240
(757) 463-6572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101229247
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010222354
—
VA
01
—
184633
ANTHEM BCBS
VA
01
—
254188
KAISER PERMANENTE
VA
01
—
496675
MDIPA OPTIMUM CHOICE
VA
Enumeration date
06/01/2006
Last updated
01/24/2022
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