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DR. MELES ZEREADAWIT FANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5298
(804) 289-4500
Mailing address
1107 BROAD HILL TRCE, HENRICO, VA 23233-7852
(404) 775-9502

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101276942
VA
208M00000X
Hospitalist Physician
Primary
0101276942
VA

Other

Enumeration date
03/18/2020
Last updated
12/26/2024
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