Provider Demographics
NPI:1831913276
Name:ABATE, SEFINEW MIGBARU
Entity type:Individual
Prefix:
First Name:SEFINEW
Middle Name:MIGBARU
Last Name:ABATE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4921 SEMINARY RD APT 818
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-1861
Mailing Address - Country:US
Mailing Address - Phone:301-549-9852
Mailing Address - Fax:
Practice Address - Street 1:4921 SEMINARY RD APT 818
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-1861
Practice Address - Country:US
Practice Address - Phone:301-549-9852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202222371183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist