Individual
DR. KASSA AYALEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4921 SEMINARY RD, SUITE 115, ALEXANDRIA, VA 22311-1838
(703) 778-9998
Mailing address
4921 SEMINARY RD, SUITE 115, ALEXANDRIA, VA 22311-1838
(703) 778-9998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101233921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010140129
—
VA
Enumeration date
08/18/2006
Last updated
07/07/2023
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