Organization
MAHTEME SELASSIE, MDPA
Active
Other names
Mahteme Selassie, MDPA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHTEME SELASSIE MD (OWNER)
(301) 656-9520
Entity
Organization
Contact information
Practice address
7910 WOODMONT AVE, SUITE 460, BETHESDA, MD 20814-3002
(301) 656-9520
(301) 718-3633
Mailing address
7910 WOODMONT AVE, SUITE 460, BETHESDA, MD 20814-3002
(301) 656-9520
(301) 718-3633
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
D0052686
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0052686
STATE LICENSE
MD
01
—
M44625
CDS
MD
Enumeration date
03/21/2006
Last updated
11/29/2007
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