Healthcare Provider Details

I. General information

NPI: 1427553460
Provider Name (Legal Business Name): ZERIHUN WOLDE GEBREMICHAEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 HEALING WAY
SILVER SPRING MD
20904-7917
US

IV. Provider business mailing address

11890 HEALING WAY
SILVER SPRING MD
20904-7917
US

V. Phone/Fax

Practice location:
  • Phone: 240-637-4000
  • Fax:
Mailing address:
  • Phone: 240-637-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number13548
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number13548
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD91027
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036174770
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: