AMANUEL FESSAHAYE (NPI# 1427111962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427111962 |
| Entity Type | Individual |
| Full Name | AMANUEL FESSAHAYE |
| Credential | M.D. |
| Practice Address |
4230 Forbes Blvd Suite E Lanham MD 20706-4351 |
| Practice Telephone | 3015775535 |
| Practice Fax Number | 3015775536 |
| Mailing Telephone | 3015775535 |
| Mailing Fax Number | 3015775536 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-05-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D58616 | MD | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
D58616 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2235 Staples Mill Rd Ste 104, Richmond, VA 232302942 | 8043559729 |
| Street Address |
4230 FORBES BLVD SUITE E |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-4351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033460670 | Marcia Petronella Renne | Massage Therapist | 4230 Forbes Blvd, Unit A, Lanham, MD 20706-4351 | 2012-09-22 |
| 1932352077 | Lanham Dialysis Access Center LLC | Specialist | 4230 Forbes Blvd, Suite E, Lanham, MD 20706-4351 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386200525 | Centurion Vascular Care LLC | Radiology | 4230 Forbes Blvd Ste E, Lanham, MD 20706-4399 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465065 | A&e Ir Solutions | Radiology | 9000 Ewing Dr, Bethesda, MD 20817-3358 | 2020-07-29 |
| 1194374694 | Vascular Institute of Maryland Surgical Center, PC | Radiology | 351 W Camden St Ste 201, Baltimore, MD 21201-7912 | 2019-09-06 |
| 1457873325 | Clinton Fibroid & Vascular LLC | Radiology | 9131 Piscataway Rd Ste 240, Clinton, MD 20735-2578 | 2017-07-12 |
| 1366848632 | Vascular Access Center of Southern Maryland LLC | Radiology | 7651 Matapeake Business Dr, Suite 101, Brandywine, MD 20613-3038 | 2014-11-13 |
| 1184034563 | Joanne Lam | Radiology | 1800 Orleans St Ste 7203, Baltimore, MD 21287-0010 | 2014-05-06 |
| 1609138668 | Elie Portnoy | Radiology | 1800 Orleans St # 7203, Baltimore, MD 21287-0010 | 2012-06-14 |
| 1992039762 | Siobhan L Mcgrane | Radiology | Dept Ir Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0001 | 2009-09-28 |
| 1184859589 | Akemi Miller | Radiology | 20410 Observation Dr Ste 104, Germantown, MD 20876 | 2009-05-29 |
| 1629242425 | Nelson R. De Lara | Radiology | 26 Glen Alpine Rd, Phoenix, MD 21131-2404 | 2008-04-14 |
| 1356541494 | Lauren Marie Kim | Radiology | Bg 10 Rm 1c344/ 10 Center Dr, Bethesda, MD 20814 | 2007-07-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.