Individual provider · Type 1 NPI

Atekelt Yilma Tadese, PA-C

Medical Physician Assistant · Frederick, MD

NPI number 1801164066 Active

Practice location

46-B Thomas Johnson Drive, Suite 200
Frederick, MD 21702

Call (301) 695-6777 Map

Fax (301) 695-4852

Mailing address

46B Thomas Johnson Dr Ste 200
Frederick, MD 21702-4501

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0004632 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1801164066

Atekelt Yilma Tadese, PA-C's National Provider Identifier is 1801164066, issued on Dec 2, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Frederick, MD. The record was last updated on Jun 25, 2012.