Genemo, Edom Endale

Genemo, Edom Endale is an sole proprietor health care provider with primary practice located at 8316 Arlington Blvd Ste 300 , Fairfax VA 22031-5216. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Genemo, Edom Endale can be contacted via phone (703) 468-4195.

Contact Information

Primary practice address
8316 Arlington Blvd Ste 300 Fairfax VA 22031-5216
Phone: (703) 468-4195
Fax: (703) 280-9350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101283017 Virginia

Profile Details

NPI number 1255918124
LBN Legal business name Genemo, Edom Endale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2021
Last updated Jul 15th, 2024 - 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.

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