Individual
ANTENEH M BELAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
(904) 346-0113
Mailing address
1820 SOUTHMORE BLVD, UNIT D., HOUSTON, TX 77004-5947
(703) 888-8259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101240085
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010345197
—
VA
01
—
P00370390
RAILROAD MEDICARE
VA
Enumeration date
10/26/2006
Last updated
11/17/2008
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