Tefferra, Getachew

Tefferra, Getachew is an individual health care provider with primary practice located at 1221 Mercantile Ln , Upper Marlboro MD 20774-5374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tefferra, Getachew can be contacted via phone (301) 618-5500.

Contact Information

Primary practice address
1221 Mercantile Ln Upper Marlboro MD 20774-5374
Phone: (301) 618-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0057218 Maryland

Profile Details

NPI number 1770625907
LBN Legal business name Tefferra, Getachew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 29th, 2021 - about 3 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 1770625907 NPPES
Maryland Other S062-0499 CAREFIRST
Maryland MEDICAID 413372200 CAREFIRST

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