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NPI Code Detail

MEDICARE: MEKDES GEBRETENSAI

MEDICARE:   MEKDES  GEBRETENSAI
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
12279C0205XCritical Care Registered Respiratory TherapistRC1562DC

General Provider Information

NPI Number : 1710832795
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEKDES GEBRETENSAI
Provider Business Mailing Address
First Line : 6204 CARYHURST DR
Second Line :
City : FORT WASHINGTON
State : MD
Zip : 20744-3113
Country : US
Telephone Number : 703-653-4556
Fax Number : 703-653-4556
Provider Business Practice Location Address
First Line : 111 MICHIGAN AVE NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-2916
Country : US
Telephone Number : 202-602-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ MEKDES GEBRETENSAI ” Practice Location

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