Organization
LIEBNA MEDICAL CONSULTATIONS PLLC
Active
Organization
LIEBNA MEDICAL CONSULTATIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZELEKE DESSE KASSAHUN M.D. (SOLE MBR)
(301) 717-4995
Entity
Organization
Contact information
Practice address
1328 SOUTHERN AVE SE, STE 205, WASHINGTON, DC 20032-4689
(202) 544-7744
Mailing address
5021 SEMINARY RD, APT 1330, ALEXANDRIA, VA 22311-1945
(301) 717-4995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD33521
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
699865800
—
MD
Enumeration date
12/29/2009
Last updated
12/29/2009
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