Provider Demographics
NPI:1801024708
Name:KEBEDE, SELOMIE MEQUANINT (MD)
Entity Type:Individual
Prefix:DR
First Name:SELOMIE
Middle Name:MEQUANINT
Last Name:KEBEDE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9530 COSNER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-7760
Mailing Address - Country:US
Mailing Address - Phone:540-373-1331
Mailing Address - Fax:540-373-1124
Practice Address - Street 1:9530 COSNER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7760
Practice Address - Country:US
Practice Address - Phone:540-373-1331
Practice Address - Fax:540-373-1124
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2015-08-21
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Provider Licenses
StateLicense IDTaxonomies
VA0101258867207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease