Provider Demographics
NPI:1982618211
Name:AMARE, RAHEL TEKLEHAIMANOT (MD)
Entity type:Individual
Prefix:
First Name:RAHEL
Middle Name:TEKLEHAIMANOT
Last Name:AMARE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RAHEL
Other - Middle Name:A
Other - Last Name:TEKLEHAIMANOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:301 RIVERVIEW AVE STE 710
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1065
Mailing Address - Country:US
Mailing Address - Phone:757-252-9040
Mailing Address - Fax:757-252-9041
Practice Address - Street 1:301 RIVERVIEW AVE STE 710
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1065
Practice Address - Country:US
Practice Address - Phone:757-252-9040
Practice Address - Fax:757-252-9041
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239196207R00000X, 208M00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO305208Medicare PIN