Provider Demographics
NPI:1790581452
Name:ABERA, YONAS TAMRAT
Entity type:Individual
Prefix:
First Name:YONAS
Middle Name:TAMRAT
Last Name:ABERA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 OLD VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1540
Mailing Address - Country:US
Mailing Address - Phone:571-501-1380
Mailing Address - Fax:
Practice Address - Street 1:6201 OLD VALLEY CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-1540
Practice Address - Country:US
Practice Address - Phone:571-501-1380
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)