NPI 1083828552 · live from the CMS NPI Registry
Tadele Wunete Alemu, Physician Assistant
Physician Assistant in Baltimore, MD. National Provider Identifier 1083828552, active.
NPI record
| NPI | 1083828552 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 300 Armory Place, Suite 3m, Baltimore, MD 21201 |
| Practice phone | 410-225-8615 |
| Mailing address | 4808 Upland Drive, Alexandria, VA 22310 |
| Enumerated | May 10, 2007 |
| Last updated | January 11, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | C0003480 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.