Ayalew, Melaku
Ayalew, Melaku is an sole proprietor health care provider with primary practice located at 8439 Lake Mist Way , Fairfax Station VA 22039-2676. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ayalew, Melaku can be contacted via phone (703) 200-5422.Contact Information
Primary practice address
8439 Lake Mist Way
Fairfax Station VA 22039-2676
Phone: (703) 200-5422
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0052560 | Maryland |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207RA0000X | D0052560 | Maryland |
Profile Details
| NPI number | 1679759088 |
|---|---|
| LBN Legal business name | Ayalew, Melaku |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 15th, 2008 |
| Last updated | Jul 24th, 2012 - about 12 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 | 1679759088 | NPPES |
| Virginia | Other | 0101055711 | STATE MEDICAL LICENSE |
| Virginia | Other | D0052560 | STATE MEDICAL LICENSE |
Popular Providers
-
Tirado, Sandra
10530 Rosehaven St Ste 100 , Fairfax VA 22030-2888 -
Shahab, Syed T
8501 Arlington Blvd Ste 330 , Fairfax VA 22031-4625 -
Young, Cecilia T
8081 Innovation Park Dr Ste 200 , Fairfax VA 22031-4867 -
Giordano, Maryann
3022 Williams Dr Ste 300 , Fairfax VA 22031-4600 -
Pfundstein, Joann
3020 Hamaker Ct Suite B102, Fairfax VA 22031-2238 -
West, Eileen C
8316 Arlington Blvd Ste 330 , Fairfax VA 22031-5205 -
Holland, Susan J
2700 Prosperity Ave Ste 270 , Fairfax VA 22031-4321 -
Park, Soo Woong
10680 Main St Ste 130, Fairfax VA 22030-3811