SELAM MEDICAL SERVICE LLC


Address: 1328 Southern Ave Se, Suite 205, Washington, DC 20032-4689
Phone: 2025447744

SELAM MEDICAL SERVICE LLC (NPI# 1982930517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982930517
Entity Type Organization
Organization Name SELAM MEDICAL SERVICE LLC
Practice Address 1328 Southern Ave Se
Suite 205
Washington
DC 20032-4689
Mailing Address 603 Sligo Ave
Apt 313
Silver Spring
MD 20910-4765
Practice Telephone 2025447744
Mailing Telephone 3015880724
Enumeration Date 2009-11-02
Last Update Date 2009-11-02
Authorized Official Name DR. RUSSOM BARIAGHABER GHEBRAI (SOLE MBR)
Authorized Official Telephone 3015026912
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
MD035237 DC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DC 059550700 05

Office Location

Street Address 1328 SOUTHERN AVE SE
SUITE 205
City WASHINGTON
State DC
Zip Code 20032-4689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073519823 Mina M Yacoub Internal Medicine 1328 Southern Ave Se, Ste 312, Washington, DC 20020 2005-06-27
1528408804 Namrita Kaur Sodhi Family Medicine 1328 Southern Ave Se, Suite 302, Washington, DC 20032-4689 2013-07-01
1083952501 Wilhelm Bonnette Counselor 1328 Southern Ave Se, Sutie 301, Washington, DC 20032-4689 2013-01-17
1336485366 Life Enhancement Services of Va, LLC Community/Behavioral Health 1328 Southern Ave Se, Suite 301, Washington, DC 20032-4689 2012-12-19
1043555071 United Hospitalists Medical Service, Pllc Internal Medicine 1328 Southern Ave Se, Ste 205, Washington, DC 20032-4689 2012-12-03
1659645224 Evelyn Gyirepaa Dakwa Nurse Practitioner 1328 Southern Ave Se, Suite 309, Washington, DC 20032-4689 2012-02-29
1508156472 Angie Bryant Social Worker 1328 Southern Ave Se, Washington, DC 20032-4689 2011-04-13
1689979437 Cyril A Allen Md LLC Internal Medicine 1328 Southern Ave Se, 202, Washington, DC 20032-4689 2011-01-25
1801199427 Bahram Pishdad Md, P.C. General Practice 1328 Southern Ave Se, Suite 310, Washington, DC 20032-4689 2010-12-21
1083932438 Footprint Podiatry Consultants, LLC Clinic/Center 1328 Southern Ave Se, Suite 209, Washington, DC 20032-4689 2010-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1639788938 Richard Quinones Technician 4346 Livingston Rd Se, B, Washington, DC 20032 2020-07-23
1720603244 Ankur Sah Swarnakar Student in an Organized Health Care Education/Training Program 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 2020-06-10
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1144878240 Erika Kirkpatrick Behavior Technician 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 2019-08-31
1982251351 Agazit Asihel Counselor Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 2019-08-21
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
1376100115 Kelsey Hobart Student in an Organized Health Care Education/Training Program Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 2019-05-28
1407321417 Abigail Christine Burke Physical Therapist 3146 Arnold Avenue Sw, Washington, DC 20032 2018-10-05
Find all providers in zip 20032

Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881726701 Jeffrey Dimitry Williams Internal Medicine 2150 Pennsylvania Ave Nw Ste 8-404, Washington, DC 20037 2007-03-09
1679665020 Lynessa A Alonso Internal Medicine 10 Saint Clare Ct, Washington, IL 61571-9239 2006-09-29
1912922956 Anil Garg Internal Medicine 173 E Washington Ave, Washington, NJ 07882-1819 2006-07-12
1639513559 Ariel Belle White Internal Medicine 111 Michigan Ave Nw, Washington, DC 20010-2916 2013-04-22
1144377110 Mariana Kastrinakis Internal Medicine 111 Michigan Ave Nw, Washington, DC 20010-2978 2007-01-04
1356455190 Krishna Gandotra Internal Medicine Walter Reed Army Medical Ctr, 6900 Georgia Ave., Nw, Washington, DC 20307-0001 2006-08-18

Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

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.

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