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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679759088 NPPES
Virginia Other 0101055711 STATE MEDICAL LICENSE
Virginia Other D0052560 STATE MEDICAL LICENSE

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