Provider Demographics
NPI:1275167728
Name:WOLDU, YOSIEF
Entity Type:Individual
Prefix:MR
First Name:YOSIEF
Middle Name:
Last Name:WOLDU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5821 ATTEENTEE RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-3902
Mailing Address - Country:US
Mailing Address - Phone:703-589-8043
Mailing Address - Fax:
Practice Address - Street 1:5821 ATTEENTEE RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-3902
Practice Address - Country:US
Practice Address - Phone:703-589-8043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)