Bethlehem Sisay, PA
Physician Assistant, Medical in Lanham, MD. Individual provider (NPI-1).
NPI number1033427240
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1033427240
- Entity type
- Individual (NPI-1)
- Name
- Bethlehem Sisay
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2010
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA030680 | DC | Yes |
Practice location
8118 Good Luck RdLanham, MD 20706-3574
Phone 301-552-8013
Mailing address
2024 Georgia Ave NwWashington, DC 20001-3027
Phone 202-595-3223 · Fax 202-332-0028
Other practice locations
2041 Georgia Ave Nw
Washington, DC 20060-0001
Washington, DC 20060-0001
Phone 202-865-1121 · Fax 202-865-4492
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