Alazar Kassa Fedlu
Alazar Kassa Fedlu is a Physician Assistant in Reston, Virginia. Licensed in Virginia. Registered with an NPI since 2023.
- Licensed in
- VA
- In the registry since
- 2023
Practice location Address checks out
2260 Stone Wheel Dr Apt EReston, VA 20191-3126
Phone: (571) 478-7770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 0110009519 (VA) |
|---|
Record details
| NPI number | 1508631011 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 15, 2023 |
| Last updated in NPPES | November 15, 2023 |
| Certification date | November 15, 2023 |
| Mailing address | 2260 Stone Wheel Dr Apt E, Reston, VA 20191-3126 |
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