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Kassahun Bogale
NPI 1174124523 · on the registry since 2020 · sole proprietor
Practice
- Address
- 20 Audrey Ln
Oxon Hill, MD 20745 - Phone
- (301) 839-8181
- Organisation at this address
- Giant Of Maryland Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland