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Individual

DR. DEJENE GETACHEW KASSAYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911-4668
(434) 654-7580
(434) 654-7582
Mailing address
3001 HOSPITAL DR FL 5, CHEVERLY, MD 20785-1189
(301) 618-3776
(301) 618-2986

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101258086
VA
207R00000X
Internal Medicine Physician
D0079809
MD
208M00000X
Hospitalist Physician
Primary
0101258086
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912260134
VA
Enumeration date
06/21/2012
Last updated
08/30/2023
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