Individual
DR. TEDLA ANBESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 S BRAGG ST STE 100, ALEXANDRIA, VA 22312-2793
(703) 845-0700
(703) 794-2269
Mailing address
85 S BRAGG ST STE 100, ALEXANDRIA, VA 22312-2793
(703) 845-0057
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
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