Provider Demographics
NPI:1235576828
Name:GEMECHISA, GELANE (MD)
Entity Type:Individual
Prefix:
First Name:GELANE
Middle Name:
Last Name:GEMECHISA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 I ST NW FL 7
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-2107
Mailing Address - Country:US
Mailing Address - Phone:202-251-7541
Mailing Address - Fax:888-217-0505
Practice Address - Street 1:1915 I ST NW FL 7
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2107
Practice Address - Country:US
Practice Address - Phone:202-261-7541
Practice Address - Fax:888-217-0505
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT204528207Q00000X
DCMD044596207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine