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NPI Code Detail

MEDICARE: DR. TIRSIT RETTA WOLDEYOHANES

MEDICARE: DR. TIRSIT RETTA WOLDEYOHANES
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician0101281906VA
3208M00000XHospitalist Physician0101281906VA

General Provider Information

NPI Number : 1669052429
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIRSIT RETTA WOLDEYOHANES
Provider Business Mailing Address
First Line : 3001 HOSPITAL DR
Second Line :
City : CHEVERLY
State : MD
Zip : 20785-1189
Country : US
Telephone Number : 301-618-3559
Fax Number : 301-618-2834
Provider Business Practice Location Address
First Line : 4000 COLISEUM DR STE 445
Second Line :
City : HAMPTON
State : VA
Zip : 23666-5981
Country : US
Telephone Number : 757-827-2127
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 06/03/2026

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Directions to “ DR. TIRSIT RETTA WOLDEYOHANES ” Practice Location

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