Provider Demographics
NPI:1366432692
Name:GEBREYESUS, YARED A (MD)
Entity type:Individual
Prefix:DR
First Name:YARED
Middle Name:A
Last Name:GEBREYESUS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2765 RICHMOND HWY
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-8331
Mailing Address - Country:US
Mailing Address - Phone:540-657-9191
Mailing Address - Fax:540-657-0986
Practice Address - Street 1:2146 JEFFERSON DAVIS HWY
Practice Address - Street 2:SUITE101
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7223
Practice Address - Country:US
Practice Address - Phone:540-657-9191
Practice Address - Fax:540-657-0986
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2024-07-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101238116207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine