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YARED T TADESSE MD LLC NPI 1568630846


NPI Information

NPI: 1568630846
Provider Name: YARED T TADESSE MD LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
11120 NEW HAMPSHIRE AVE
SUITE 407
SILVER SPRING, MD
ZIP 20904
Phone: (301) 681-3995
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YARED T TADESSE MD LLC is a health service clinic center in Silver Spring, MD. YARED T TADESSE MD LLC NPI is 1568630846. The provider is registered as an organization entity type.

The provider's business location address is:

11120 NEW HAMPSHIRE AVE
SUITE 407
SILVER SPRING, MD
ZIP 20904-633
Phone: (301) 681-3995
Fax: (301) 681-3803

The provider's authorized official is Yared T Tadesse .
The authorized official title is President, Owner & Provider and has the following contact phone number (301) 681-3995.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 2/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceW12076618MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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