MEDICARE: EBOR ABEBE TEDBABE

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
1	343900000X	Non-emergency Medical Transport (VAN)	1254	VA

General Provider Information

NPI Number	:	1740943042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EBOR ABEBE TEDBABE

Provider Business Mailing Address
First Line	:	3920 FREEPORT PL APT 11
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-1264
Country	:	US
Telephone Number	:	202-867-6677
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 FREEPORT PL APT 11
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23233-1264
Country	:	US
Telephone Number	:	202-867-6677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2021
Last Update Date	:	10/14/2021

Similar Medicare Providers

1578227377 — NAZARETH ET TRANSPORTATION COMPANY LLC
Practice Location Address:

3920 FREEPORT PL APT 11
HENRICO, VA
23233-1264

Practice Phone: 202-867-6677
Practice Fax:

1922767748 — ET RICHMOND TAXI LLC
Practice Location Address:

3920 FREEPORT PL APT 11
RICHMOND, VA
23233-1264

Practice Phone: 202-867-6677
Practice Fax:

1003583907 — DR. JEFFREY BROCHETTI PHARMD
Practice Location Address:

11895 W BROAD ST
HENRICO, VA
23233-1065

Practice Phone: 804-305-3315
Practice Fax:

1427440718 — RUNJHUN BHATIA MD
Practice Location Address:

11958 W BROAD ST FL 5
HENRICO, VA
23233-1007

Practice Phone: 804-828-9350
Practice Fax:

1962556001 — LUXOTTICA OF AMERICA INC.
Practice Location Address:

11736 W BROAD ST
HENRICO, VA
23233-1189

Practice Phone: 804-360-1890
Practice Fax:

1245533751 — REBECCA MILAGRO FORE
Practice Location Address:

11895 W BROAD ST
HENRICO, VA
23233-1065

Practice Phone: 804-360-3268
Practice Fax: 804-360-3848

Directions to “ EBOR ABEBE TEDBABE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.