Healthcare Provider Details

I. General information

NPI: 1871350041
Provider Name (Legal Business Name): SOLABE FAMILY HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11120 NEW HAMPSHIRE AVE STE 309
SILVER SPRING MD
20904-2680
US

IV. Provider business mailing address

3132 CASTLELEIGH RD
SILVER SPRING MD
20904-1713
US

V. Phone/Fax

Practice location:
  • Phone: 240-991-2197
  • Fax: 706-673-8577
Mailing address:
  • Phone: 240-991-2197
  • Fax: 706-673-8577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MESAY GEBRESILASSIE
Title or Position: PROVIDER
Credential: NP
Phone: 240-991-2197