Dereje Tesfaye, M.D.
Internal Medicine in Columbia, MD. Individual provider (NPI-1).
NPI number1154524809
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154524809
- Entity type
- Individual (NPI-1)
- Name
- Dereje Tesfaye
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | D0045693 | MD | Yes |
Practice location
6990 Columbia Gateway DrSuite 350
Columbia, MD 21046-2953
Phone 410-872-8590 · Fax 410-872-0141
Mailing address
3135 Stiles WayWest Friendship, MD 21794-9218
Phone 410-872-8590 · Fax 410-872-0141
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