Provider Demographics
NPI:1497941538
Name:TEWELDE, ZERABRUCK TESFAMARIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:ZERABRUCK
Middle Name:TESFAMARIAM
Last Name:TEWELDE
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 1:7919 GREENBURY DR
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3043
Mailing Address - Country:US
Mailing Address - Phone:301-552-4799
Mailing Address - Fax:301-552-4799
Practice Address - Street 1:7919 GREENBURY DR
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3043
Practice Address - Country:US
Practice Address - Phone:301-552-4799
Practice Address - Fax:301-552-4799
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043501207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine