Anbessie, Tedla
Anbessie, Tedla is an individual health care provider with primary practice located at 85 S Bragg St Ste 100 , Alexandria VA 22312-2793. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Anbessie, Tedla can be contacted via phone (703) 845-0700.Contact Information
Primary practice address
85 S Bragg St Ste 100
Alexandria VA 22312-2793
Phone: (703) 845-0700
Fax: (703) 794-2269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101058267 | Virginia |
Profile Details
| NPI number | 1972590743 |
|---|---|
| LBN Legal business name | Anbessie, Tedla |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Nov 13th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972590743 | NPPES |
| Virginia | MEDICAID | 010096812 | |
| Virginia | Other | P00220778 | |
| Virginia | Other | 518598 | |
| Virginia | Other | K0520001 |
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