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Organization

GREENBELT MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MESFIN GEBREMICHAEL M.D. (SOLE PROPRIETOR)
(301) 552-6666
Entity
Organization

Contact information

Practice address
9801 GREENBELT RD, SUITE 101, LANHAM, MD 20706-2273
(301) 552-6666
Mailing address
203 LINTON KNOLL CT, SILVER SPRING, MD 20904-1270
(301) 552-6666

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0042354
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2102082
MAMSI
MD
01
5894029
AETNA
MD
01
73153
AMERIGROUP
MD
01
G469 0001
CAREFIRST
MD
01
P00174253
RAILROAD MEDICARE
MD
Enumeration date
10/18/2006
Last updated
08/22/2020
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