Individual
SEBLE KASSAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1220 12TH ST SE, SUITE 120, WASHINGTON, DC 20003-3722
(202) 715-7900
Mailing address
1220 12TH ST SE, SUITE 120, WASHINGTON, DC 20003-3722
(202) 715-7900
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
0101250530
VA
207RI0200X
Infectious Disease Physician
A778880
CA
207RI0200X
Infectious Disease Physician
Primary
MD038263
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A778880
—
CA
Enumeration date
11/24/2006
Last updated
10/21/2011
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