Provider Demographics
NPI:1467767830
Name:ROSARIO, AMANUEL TEKLE (MD)
Entity Type:Individual
Prefix:
First Name:AMANUEL
Middle Name:TEKLE
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16810 HARBOUR TOWN DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-4100
Mailing Address - Country:US
Mailing Address - Phone:240-481-6767
Mailing Address - Fax:301-421-4008
Practice Address - Street 1:1900 MASSACHUSETTS AVE SE BLDG 15
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2542
Practice Address - Country:US
Practice Address - Phone:202-698-4020
Practice Address - Fax:202-724-2363
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0043026207RI0200X
DCMD19847207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease