Gebru, Minas W

Gebru, Minas W is an individual health care provider with primary practice located at 2002 Medical Pkwy Suite 430, Annapolis MD 21401-3046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gebru, Minas W can be contacted via phone (443) 481-1940.

Contact Information

Primary practice address
2002 Medical Pkwy Suite 430 Annapolis MD 21401-3046
Phone: (443) 481-1940
Fax: (443) 481-1941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D82047 Maryland

Profile Details

NPI number 1548558703
LBN Legal business name Gebru, Minas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Jan 25th, 2017 - about 7 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 1548558703 NPPES
Maryland Other X5810006 BCBS
Maryland MEDICAID 202108100 BCBS

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