Ayalew, Kassa
Ayalew, Kassa is an individual health care provider with primary practice located at 4921 Seminary Rd Suite 115, Alexandria VA 22311-1838. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ayalew, Kassa can be contacted via phone (703) 778-9998.Contact Information
Primary practice address
4921 Seminary Rd Suite 115
Alexandria VA 22311-1838
Phone: (703) 778-9998
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0101233921 | Virginia |
Profile Details
| NPI number | 1962516179 |
|---|---|
| LBN Legal business name | Ayalew, Kassa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 7th, 2023 - about 3 years ago |
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 | 1962516179 | NPPES |
| Virginia | MEDICAID | 010140129 |
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