| Mahteme Selassie, Mdpa | |
|
7910 Woodmont Ave Suite 460 Bethesda MD 20814-3002 | |
| (301) 656-9520 | |
| (301) 718-3633 |
| Full Name | Mahteme Selassie, Mdpa |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 7910 Woodmont Ave, Bethesda, Maryland |
| Authorized Official Name and Position | Mahteme Selassie (OWNER) |
| Authorized Official Contact | 3016569520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahteme Selassie, Mdpa 7910 Woodmont Ave Suite 460 Bethesda MD 20814-3002 Ph: (301) 656-9520 | Mahteme Selassie, Mdpa 7910 Woodmont Ave Suite 460 Bethesda MD 20814-3002 Ph: (301) 656-9520 |
| NPI Number | 1801855697 |
|---|---|
| Provider Enumeration Date | 03/21/2006 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801855697 | NPI | - | NPPES |
| M44625 | Other | MD | CDS |
| D0052686 | Other | MD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | D0052686 (Maryland) | Primary |
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