Individual
DR. TEDLA ANBESSIE
Active
Individual
DR. TEDLA ANBESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058267
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010096812
—
VA
01
—
518598
NCPPO
MD
01
—
K0520001
BC/BS DC
DC
01
—
P00220778
RRMC
VA
Enumeration date
10/05/2005
Last updated
11/13/2025
Update your record
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