Individual
DR. FASIKA WELDEAREGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
(703) 664-7666
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101243690
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
O101243690
VA
207RP1001X
Pulmonary Disease Physician
O101243690
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871646927
—
VA
Enumeration date
01/20/2007
Last updated
09/23/2020
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