| Solomon Feyissa LLC | |
|
14740 4th St Apt 415 Laurel MD 20707-3718 | |
| (240) 294-6536 | |
| (240) 294-7235 |
| Full Name | Solomon Feyissa LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 14740 4th St, Laurel, Maryland |
| Authorized Official Name and Position | Solomon Alemu Feyissa (GENERAL MANAGER) |
| Authorized Official Contact | 2402946536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solomon Feyissa LLC 14740 4th St Apt 415 Laurel MD 20707-3718 Ph: (240) 294-6536 | Solomon Feyissa LLC 14740 4th St Apt 415 Laurel MD 20707-3718 Ph: (240) 294-6536 |
| NPI Number | 1881966851 |
|---|---|
| Provider Enumeration Date | 02/06/2012 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881966851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D070500 (Maryland) | Primary |
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