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MAHTEME SELASSIE MDPA NPI 1801855697


NPI Information

NPI: 1801855697
Provider Name: MAHTEME SELASSIE, MDPA

Doing Business As: MAHTEME SELASSIE, MDPA

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
7910 WOODMONT AVE
SUITE 460
BETHESDA, MD
ZIP 20814
Phone: (301) 656-9520
Get Directions

MAHTEME SELASSIE, MDPA is a child and adolescent psychiatry psychiatry neurology in Bethesda, MD. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. MAHTEME SELASSIE, MDPA NPI is 1801855697. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mahteme Selassie, Mdpa.

The provider's business location address is:

7910 WOODMONT AVE
SUITE 460
BETHESDA, MD
ZIP 20814-002
Phone: (301) 656-9520
Fax: (301) 718-3633

The provider's authorized official is Mahteme Selassie .
The authorized official title is Owner and has the following contact phone number (301) 656-9520.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 11/29/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryD0052686MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M44625OTHERMARYLANDCDS
2H06848MEDICARE UPINMARYLAND
3G01892MEDICARE PINMARYLAND
4D0052686OTHERMARYLANDSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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