Individual
AKLILU MERSHA DEGENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 HEALTH CAMPUS DR, HARRISONBURG, VA 22801-8679
(540) 689-5600
(540) 689-5601
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5791
(540) 433-4123
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101238021
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010173639
—
VA
01
—
1000870001
DME PROVIDER
VA
01
—
179962
ANTHEM/BCBS
—
01
—
321619
SOUTHERN HEALTH
—
01
—
3364824
CIGNA
—
01
—
3810002958
WV MEDICAID
—
01
—
96956
OPTIMA
VA
01
—
P00234595
RAILROAD MEDICARE
VA
Enumeration date
05/30/2006
Last updated
10/06/2011
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