Provider Demographics
NPI:1669260832
Name:BELETE, LULU ALEBACHEW (MD)
Entity type:Individual
Prefix:DR
First Name:LULU
Middle Name:ALEBACHEW
Last Name:BELETE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 E. BROAD STREET
Mailing Address - Street 2:BOX 980257
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-0257
Mailing Address - Country:US
Mailing Address - Phone:804-828-9783
Mailing Address - Fax:804-828-5613
Practice Address - Street 1:4730 E. SOUTHSIDE PLAZA
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234
Practice Address - Country:US
Practice Address - Phone:804-230-7777
Practice Address - Fax:804-828-2071
Is Sole Proprietor?:No
Enumeration Date:2025-04-28
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program