Individual
DR. AYALNESH SHIFERAW TADELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117
(314) 768-8778
(314) 768-7101
Mailing address
6215 GUM STREET, ALEXANDRIA, VA 22310
(571) 337-9595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101281540
VA
Other
Enumeration date
04/15/2021
Last updated
07/08/2024
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