Healthcare Provider Details

I. General information

NPI: 1053767392
Provider Name (Legal Business Name): ABEL TEKA YIMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2016
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 MCLAWS CIR STE 1
WILLIAMSBURG VA
23185-6316
US

IV. Provider business mailing address

477 MCLAWS CIR
WILLIAMSBURG VA
23185-6316
US

V. Phone/Fax

Practice location:
  • Phone: 757-984-9675
  • Fax: 757-470-5401
Mailing address:
  • Phone: 757-984-9650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD468032
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number0101277278
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME150337
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number0101277287
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: