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NPI Code Detail

MEDICARE: DR. DAWIT GIRMA MEKONNEN M.D.

MEDICARE: DR. DAWIT GIRMA MEKONNEN M.D.
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
1207R00000XInternal Medicine Physician0101234596VA
2208M00000XHospitalist PhysicianD0061307MD
3208M00000XHospitalist Physician0101234596VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1J0950009OTHERDCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
464208402OTHERMDBCBS

General Provider Information

NPI Number : 1518065374
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWIT GIRMA MEKONNEN M.D.
Provider Business Mailing Address
First Line : 9300 DEWITT LOOP
Second Line : HOSPITALIST SERVICE 7TH FLOOR OAK PAVILION
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 703-599-9540
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line : HOSPITALIST SERVICE 7TH FLOOR OAK PAVILION
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 703-599-9540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 12/27/2022

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