Provider Demographics
NPI:1639126550
Name:GEBREMICHAEL, SARA S (MD)
Entity Type:Individual
Prefix:DR
First Name:SARA
Middle Name:S
Last Name:GEBREMICHAEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9801 GREENBELT RD
Mailing Address - Street 2:SUIT 101
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2273
Mailing Address - Country:US
Mailing Address - Phone:301-552-6666
Mailing Address - Fax:301-552-6216
Practice Address - Street 1:9801 GREENBELT RD
Practice Address - Street 2:SUIT 101
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2273
Practice Address - Country:US
Practice Address - Phone:301-552-6666
Practice Address - Fax:301-552-6216
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2013-03-25
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Provider Licenses
StateLicense IDTaxonomies
DCMD035167207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I42047Medicare UPIN