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Individual

SHEWIT BEZABEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
110 IRVING ST NW, SUITE NA 1177, WASHINGTON, DC 20010-2976
(202) 877-9696
(202) 877-9263
Mailing address
3334 ROSE LN, FALLS CHURCH, VA 22042-4013
(202) 877-9696
(202) 877-9263

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD30238
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
027084200
DC
01
110214860
RAILROAD MED
DC
05
343651901
MD
01
75859902
BLUE SHIELD
MD
01
J8790001
BLUE SHIELD
DC
Enumeration date
02/23/2007
Last updated
08/19/2016
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