Doctor Name: | DR. MELAKU AYALEW |
NPI Number: | 1679759088 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0052560 |
Business Practice Address: | 8439 Lake Mist Way Fairfax Station, VA - 220392676 |
Business Phone Number: | 7032005422 |
Business Fax Number: | |
Mailing Address: | 8439 Lake Mist Way, FAIRFAX STATION |
State: | VA |
Postal Code: | 220392676 |
Phone Number: | 7032005422 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2008 |
NPI Last Update Date: | 07/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | D0052560 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |