Healthcare Provider Details

I. General information

NPI: 1497119358
Provider Name (Legal Business Name): AARON GEBRELUL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2016
Last Update Date: 02/26/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 S SHIRLINGTON RD STE 1100
ARLINGTON VA
22206-3605
US

IV. Provider business mailing address

2800 S SHIRLINGTON RD STE 1100
ARLINGTON VA
22206-3605
US

V. Phone/Fax

Practice location:
  • Phone: 703-892-6500
  • Fax:
Mailing address:
  • Phone: 703-892-6500
  • Fax: 703-521-3415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number101274031
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: