Provider Demographics
NPI:1225776511
Name:TOLLA, GEZAHEGN GORFU (PHD)
Entity Type:Individual
Prefix:
First Name:GEZAHEGN
Middle Name:GORFU
Last Name:TOLLA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:506 EASLEY ST APT 102
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4530
Mailing Address - Country:US
Mailing Address - Phone:301-433-2569
Mailing Address - Fax:
Practice Address - Street 1:HOWARD UNIVERSITY 520 W STREET NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20059-0001
Practice Address - Country:US
Practice Address - Phone:202-733-8660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0900XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMicrobiology