Individual
BEZAWIT TEKOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3028 JAVIER RD STE 500, FAIRFAX, VA 22031
(703) 698-8960
(571) 494-5794
Mailing address
3700 JOSEPH SIEWICK DR STE 308, FAIRFAX, VA 22033-1739
(703) 698-8960
(703) 716-8703
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101252184
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2008
Last updated
05/07/2019
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