MEDICARE: GETACHEW AFRE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center	MD30689	DC
2	207R00000X	Internal Medicine Physician	MD30689	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083629968
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GETACHEW AFRE MD

Provider Business Mailing Address
First Line	:	8802 SUMNER GROVE DR
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20708-3539
Country	:	US
Telephone Number	:	202-723-4448
Fax Number	:	202-723-4494

Provider Business Practice Location Address
First Line	:	6323 GEORGIA AVE NW
Second Line	:	STE 106
City	:	WASHINGTON
State	:	DC
Zip	:	20011-1101
Country	:	US
Telephone Number	:	202-723-4448
Fax Number	:	202-723-4494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	01/28/2014

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Directions to “ GETACHEW AFRE MD” Practice Location

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