Individual
MAKONNEN K. ZELLEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7740 GUNSTON PLZ, LORTON, VA 22079-1897
(703) 339-5858
(703) 339-5860
Mailing address
7740 GUNSTON PLZ, LORTON, VA 22079-1897
(703) 339-5858
(703) 339-5860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0059191
MD
208000000X
Pediatrics Physician
Primary
0101232669
VA
Other
Enumeration date
09/29/2005
Last updated
01/24/2024
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