Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0090179 | MD |
Y | 111NI0900X | Internist | D0090179 | MD |
NPI | 1003342346 |
---|---|
Provider Name | Gashaw Adugna Dadi |
First Address | Annapolis, MD 21401-3773 |
Second Address | Annapolis, MD 21401-3773 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2017 |
Last Update Date | 12/08/2021 |