Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edom Endale Genemo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255918124

Edom Endale Genemo, MD is a Student in an Organized Health Care Education/Training Program in Fairfax, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8316 Arlington Blvd Ste 300
Fairfax, VA 22031-5216
Phone: (703) 468-4195
Fax: (703) 280-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2401 W Belvedere Ave, Baltimore, MD 21215-5216 — (410) 601-7639

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 0101283017 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255918124
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 26, 2021
Last updated in NPPESJuly 15, 2024
Certification dateJune 11, 2024
Mailing address8316 Arlington Blvd Ste 300, Fairfax, VA 22031-5216

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