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Individual

HAILEGEORGIS AWULACHEW ASIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-7000
Mailing address
4 GALWAY CT, SILVER SPRING, MD 20904-1718
(202) 549-7711

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
SA0237
DC
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SA0237
DC, BOARD OF MEDICINE
DC
Enumeration date
04/05/2021
Last updated
03/27/2024
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