Tewodros Gedamu, O.D

NPI 1558472878 · on the registry since 2006 · sole proprietor

Practice

Address: 11784 Lee Jackson Memorial Highway
Fairoaks Mall Lower Level
Fairfax, VA 22033
Phone: (703) 591-9377
Fax: (703) 352-8709
Organisation at this address: Tewodros Gedamu, O.D. & Associates, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152W00000X
152W00000X
Licence states on file: MD, VA, DC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-06-21

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