Mekonnen, Asefa Jejaw

Mekonnen, Asefa Jejaw is an individual health care provider with primary practice located at 1201 Seven Locks Rd Ste 111, Rockville MD 20854-2957. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is his primary health care specialty. Mekonnen, Asefa Jejaw can be contacted via phone (301) 762-5020.

Contact Information

Primary practice address
1201 Seven Locks Rd Ste 111 Rockville MD 20854-2957
Phone: (301) 762-5020
Fax: (301) 294-7569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D0060168 Maryland
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X D0060168 Maryland

Profile Details

NPI number 1306841812
LBN Legal business name Mekonnen, Asefa Jejaw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Sep 5th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306841812 NPPES
Maryland MEDICAID 416292700

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