Individual
DR. EYASU MEKONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2041 GEORGIA AVE NW, 5C-19, WASHINGTON, DC 20060-0001
(202) 865-6699
(202) 865-4607
Mailing address
2041 GEORGIA AVE NW # C-19, WASHINGTON, DC 20060-0001
(202) 865-6699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101238146
VA
207RC0000X
Cardiovascular Disease Physician
Primary
MD035587
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010224551
—
VA
05
—
037476600
—
DC
05
—
409582100
—
MD
Enumeration date
08/13/2006
Last updated
12/10/2019
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