Organization
NEW FLOWER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELAKU AYALEW MD (OWNER)
(703) 200-5422
Entity
Organization
Contact information
Practice address
8439 LAKE MIST WAY, FAIRFAX STATION, VA 22039-2676
(703) 200-5422
Mailing address
8439 LAKE MIST WAY, FAIRFAX STATION, VA 22039-2676
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101055711
VA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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