Most Relevant Information
Provider Data
| NPI Number: | 1003348129 |
| Provider Name: | FEVEN ATAKLTE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/29/2017 |
| Last Updated: | 10/28/2024 |
Provider Practice Location
1201 SAM PERRY BLVD STE 280
FREDERICKSBURG
VA
224018400
Practice Location Phone/Fax
| Phone: | 5407415501 |
| Fax: |
Provider Mailing Location
725 ALBANY STREET, SHAPIRO 5 & 6
BOSTON
MA
021182526
Provider Mailing Phone/Fax
| Phone: | 6174145951 |
| Fax: | 6174149251 |