MEDICARE: DR. GETACHEW MEKASHA M.D., PH.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
1	207RG0100X	Gastroenterology Physician	MD21367	DC
2	207RG0100X	Gastroenterology Physician	D44486	MD

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912928243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GETACHEW MEKASHA M.D., PH.D.

Provider Business Mailing Address
First Line	:	PO BOX 7279
Second Line	:
City	:	LANGLEY PARK
State	:	MD
Zip	:	20787-7279
Country	:	US
Telephone Number	:	202-865-1881
Fax Number	:	202-865-6464

Provider Business Practice Location Address
First Line	:	2139 GEORGIA AVE NW
Second Line	:	SUITE 3A
City	:	WASHINGTON
State	:	DC
Zip	:	20001-3035
Country	:	US
Telephone Number	:	202-865-1881
Fax Number	:	202-865-6464

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

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	07/01/2010

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Directions to “ DR. GETACHEW MEKASHA M.D., PH.D.” Practice Location

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