Meaza Gebreselassie (NPI# 1164595450, PAC ID# 1850381229) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1164595450 |
| PAC ID by PECOS | 1850381229 |
| Professional Enrollment ID | I20040517000896 |
| Full Name | Meaza Gebreselassie |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Address |
1221 Mercantile Ln Largo MD 20774-5374 |
| Phone Number | 3016185700 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3779495858 |
| Number of Group Practice Members | 1669 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 | 2406324000 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| 1221 Mercantile Ln, Largo, MD 20774-5374 | 3016185700 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| 1396 Piccard Dr, Rockville, MD 20850-4302 | 3015485700 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Physicians | 1965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Joon Young Jang | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Lytia Fisher | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Tomika Coleman | Podiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 |
| Juliana Llano | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 |
| Roxanne C Orion | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12201 Plum Orchard Dr, Silver Spring, MD 20904-7803 |
| Keith M Egan | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| James Ritchie Jezior | Urology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 |
| David Leng | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 43480 Yukon Dr, Suite 100, Ashburn, VA 20147-6988 |
| Camille B Madison | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Nevi Patel | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Street Address |
1221 MERCANTILE LN |
| City | LARGO |
| State | MD |
| Zip | 20774-5374 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Beverly H Darnell | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Kajal Dasgupta | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Enyinnaya R. Nwaneri | Anesthesiology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Barbara A Turner | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Steven G Chatlin | Podiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Peter Jan Bluvas Jr. | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Andaleeb Rahman | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Audrey K. Tsao | Orthopedic Surgery | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Sheri X. Qi | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Robert C Knox | Vascular Surgery | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1221 Mercantile Ln, Largo, MD 20774-5374 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adeolu Tolulope Kehinde | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
| Kartiki Sanjay Suradkar | Physical Therapy | Ati Holdings LLC | 10666 Campus Way S, Largo, MD 20774-1307 |
| Ruby Mae Jones | Psychologist, Clinical | 11111 Lochton St, Upper Marlboro, MD 20774-1529 | |
| Adora N Otiji | Family Medicine | 20 Watkins Park Dr, Upper Marlboro, MD 20774-1628 | |
| Victor C Onyejiaka | Internal Medicine | 600 Largo Rd, Upper Marlboro, MD 20774-2122 | |
| Jene C Gould | Clinical Social Worker | 1401 Mercantile Ln, Suite 485, Largo, MD 20774-4301 | |
| Renee Michelle Riley | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| William Chestnut | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Paul A Heath | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Kenya N Brent | Physical Therapy | Physical and Sports Rehab Inc | 1401 Mercantile Ln, Suite 107, Upper Marlboro, MD 20774-4302 |
| Find all physicians in zip 20774 | |||
| City | LARGO |
| Zip Code | 20774 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LARGO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Meaza Gebreselassie.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.