Individual provider · Type 1 NPI

Weldemariam Mezghebe, P.A.

Surgical Physician Assistant · Takoma Park, MD

NPI number 1902942634 Active

Practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Mailing address

12001 Gordon Ave
Beltsville, MD 20705-1131

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XC01669 (MD)

Surgical Physician Assistant: Definition to come...

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About NPI 1902942634

Weldemariam Mezghebe, P.A.'s National Provider Identifier is 1902942634, issued on Jan 29, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Takoma Park, MD. The record was last updated on Jul 8, 2007.