NPI 1962415034 · live from the CMS NPI Registry
Eyasu Mekonen, M.D.
Internal Medicine, Cardiovascular Disease in Washington, DC. National Provider Identifier 1962415034, active.
NPI record
| NPI | 1962415034 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 2041 Georgia Ave Nw, 5c-19, Washington, DC 20060 |
| Practice phone | 202-865-6699 |
| Mailing address | 2041 Georgia Ave Nw # C-19, Washington, DC 20060 |
| Enumerated | August 13, 2006 |
| Last updated | December 10, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 0101238146 (VA) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD035587 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.