Individual
DR. AHMED M DAMTEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101255028
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149501A
—
GA
01
—
02392001
AMERIGROUP
GA
01
—
1013698
WELLCARE
GA
Enumeration date
10/03/2011
Last updated
07/25/2022
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