Dr Melaku Ayalew, MD is a
Internal Medicine physician based in Fairfax Station, Virginia. Dr Melaku Ayalew is licensed to practice in Maryland (license number D0052560) and his current practice location is 8439 Lake Mist Way, Fairfax Station, Virginia. He can be reached at his office (for appointments etc.) via phone at
(703) 200-5422.
NPI number for Dr Melaku Ayalew is 1679759088 and his current mailing address is 8439 Lake Mist Way, Fairfax Station, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679759088.
Physician's Profile
| Full Name | Dr Melaku Ayalew |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 8439 Lake Mist Way, Fairfax Station, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679759088
- Provider Enumeration Date: 01/15/2008
- Last Update Date: 07/24/2012
Medical Identifiers
Medical identifiers for Dr Melaku Ayalew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679759088 | NPI | - | NPPES |
| 0101055711 | Other | VA | STATE MEDICAL LICENSE |
| D0052560 | Other | MD | STATE MEDICAL CERTIFICATE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | D0052560 (Maryland) | Primary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | D0052560 (Maryland) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Melaku Ayalew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Melaku Ayalew, MD
8439 Lake Mist Way,
Fairfax Station, VA 22039-2676
Ph: (703) 200-5422 | Dr Melaku Ayalew, MD
8439 Lake Mist Way,
Fairfax Station, VA 22039-2676
Ph: (703) 200-5422 |
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