Provider Demographics
NPI:1194813857
Name:TEFERI, GEBEYEHU N (MD)
Entity type:Individual
Prefix:DR
First Name:GEBEYEHU
Middle Name:N
Last Name:TEFERI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:765 KENILWORTH TER NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-1898
Mailing Address - Country:US
Mailing Address - Phone:202-388-8160
Mailing Address - Fax:202-388-8746
Practice Address - Street 1:765 KENILWORTH TER NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-1898
Practice Address - Country:US
Practice Address - Phone:202-388-8160
Practice Address - Fax:202-397-3059
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD034616207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC4882OtherELDER HEALTH PLAN
DC23390OtherCHARTER HEALTH PLAN
DC290422OtherAMERIGROUP