Healthcare Provider Details

I. General information

NPI: 1942791249
Provider Name (Legal Business Name): ELIZABETH SEBSIBE GEBREMARIAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5215 LOUGHBORO RD NW STE 310
WASHINGTON DC
20016-2626
US

IV. Provider business mailing address

5215 LOUGHBORO RD NW STE 310
WASHINGTON DC
20016-2626
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-9300
  • Fax: 202-244-9301
Mailing address:
  • Phone: 202-244-9300
  • Fax: 202-244-9301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD600006563
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0101272525
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: