Provider Demographics
NPI:1700012473
Name:FELEKE, ABREHAM BAYE (MD)
Entity Type:Individual
Prefix:
First Name:ABREHAM
Middle Name:BAYE
Last Name:FELEKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ABREHAMMBAYE
Other - Middle Name:BAYE
Other - Last Name:FELEKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4403 BRAMBLEWOOD LN
Mailing Address - Street 2:3712
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3644
Mailing Address - Country:US
Mailing Address - Phone:202-492-8332
Mailing Address - Fax:
Practice Address - Street 1:MCGUIRE VA MEDICAL CENTER 1201 BROAD ROCK BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-08
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251928208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist