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NPI Code Detail

MEDICARE: BETHEL ALEMAYEHU MD

MEDICARE: BETHEL ALEMAYEHU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician232646NY
2207R00000XInternal Medicine Physician232646NY
3207R00000XInternal Medicine Physician0101247814VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255328910
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETHEL ALEMAYEHU MD
Provider Business Mailing Address
First Line : PO BOX 37174
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3174
Country : US
Telephone Number : 571-423-5699
Fax Number : 571-423-5698
Provider Business Practice Location Address
First Line : 44045 RIVERSIDE PKWY
Second Line :
City : LEESBURG
State : VA
Zip : 20176-5101
Country : US
Telephone Number : 703-858-6000
Fax Number : 703-858-6900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2005
Last Update Date : 02/06/2022

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