Most Relevant Information
Provider Data
| NPI Number: | 1003376740 |
| Provider Name: | MELAT ABERRA GEBREMICHAEL |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2019 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
6000 EXECUTIVE BLVD
BETHESDA
MD
208522219
Practice Location Phone/Fax
| Phone: | 2403147080 |
| Fax: |
Provider Mailing Location
6201 GREENLEIGH AVE
MIDDLE RIVER
MD
212202219
Provider Mailing Phone/Fax
| Phone: | 5713158029 |
| Fax: |