Organization
NILE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDLA ANBESSIE M.D. (PHYSICIAN)
(703) 845-0700
Entity
Organization
Contact information
Practice address
4600 KING ST, SUITE 4E, ALEXANDRIA, VA 22302-1277
(703) 845-0700
(703) 998-8115
Mailing address
4600 KING ST, SUITE 4E, ALEXANDRIA, VA 22302-1277
(703) 845-0700
(703) 998-8115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101058267
VA
207R00000X
Internal Medicine Physician
0101233011
VA
207R00000X
Internal Medicine Physician
Primary
0101238116
VA
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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