Provider Demographics
NPI:1467101014
Name:ZEWDIE, ABENET TASSEW (MD)
Entity type:Individual
Prefix:DR
First Name:ABENET
Middle Name:TASSEW
Last Name:ZEWDIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:37767 MARKET DR UNIT 2
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:20622-3198
Mailing Address - Country:US
Mailing Address - Phone:301-884-7330
Mailing Address - Fax:301-884-7530
Practice Address - Street 1:37767 MARKET DR UNIT 2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE HALL
Practice Address - State:MD
Practice Address - Zip Code:20622-3198
Practice Address - Country:US
Practice Address - Phone:301-884-7330
Practice Address - Fax:301-884-7530
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
MDD103056208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program