Healthcare Provider Details

I. General information

NPI: 1568399251
Provider Name (Legal Business Name): FIKADU WELDESENEBET WORETA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 MOONLIGHT TRAIL CT
SILVER SPRING MD
20906-6703
US

IV. Provider business mailing address

17 MOONLIGHT TRAIL CT
SILVER SPRING MD
20906-6703
US

V. Phone/Fax

Practice location:
  • Phone: 571-587-9825
  • Fax:
Mailing address:
  • Phone: 571-587-9825
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246W00000X
TaxonomyCardiology Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: