MEDICARE: SOLABE FAMILY HEALTH CARE

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
2	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1871350041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLABE FAMILY HEALTH CARE

Provider Business Mailing Address
First Line	:	3132 CASTLELEIGH RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1713
Country	:	US
Telephone Number	:	240-991-2197
Fax Number	:	706-673-8577

Provider Business Practice Location Address
First Line	:	11120 NEW HAMPSHIRE AVE STE 309
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2680
Country	:	US
Telephone Number	:	240-991-2197
Fax Number	:	706-673-8577

Authorized Official
Title or Position	:	PROVIDER
Name	:	MESAY GEBRESILASSIE
Credential	:	NP
Telephone Number	:	240-991-2197

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	04/10/2026

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Directions to “SOLABE FAMILY HEALTH CARE ” Practice Location

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