SearchVirginia363A00000X

Alazar Fedlu

NPI 1508631011 · on the registry since 2023

Practice

Address
2260 Stone Wheel Dr Apt E
Reston, VA 20191
Phone
(571) 478-7770

Additional practice sites

  • 1800 Coburg Rd, Eugene, OR

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
VA, OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-11

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 Virginia