Healthcare Provider Details

I. General information

NPI: 1902099963
Provider Name (Legal Business Name): ZEWDITU BEKELE-ARCURI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 HAMAKER CT STE 400
FAIRFAX VA
22031-2231
US

IV. Provider business mailing address

3020 HAMAKER CT STE 400
FAIRFAX VA
22031-2220
US

V. Phone/Fax

Practice location:
  • Phone: 703-876-0800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0600X
TaxonomyClinical Neurophysiology Physician
License Number245268
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number245268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: