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MS. ATEKELT YILMA TADESE PA-C
NPI 1801164066
Physician Assistant - Medical in Frederick, MD

Active since December 02, 2011
46-B THOMAS JOHNSON DRIVE, SUITE 200, FREDERICK, MD 21702(301) 695-6777(301) 695-4852 Get Directions Write a Review

NPPES record last updated: June 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Atekelt Yilma Tadese Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ATEKELT YILMA TADESE PA-C (NPI 1801164066) is an individual medical provider in Frederick, Maryland, licensed in Maryland (C0004632) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1801164066
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ATEKELT YILMA TADESECredential: PA-C
Location Address46-B THOMAS JOHNSON DRIVE, SUITE 200Frederick, MD 21702
Mailing Address46b Thomas Johnson Dr Ste 200Frederick, MD 21702-4501
Phone(301) 695-6777
Fax(301) 695-4852
Sole ProprietorYes
Enumeration DateDecember 2, 2011
Last NPPES UpdateJune 25, 2012
✔ NPI 1801164066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0004632
46-B THOMAS JOHNSON DRIVE, Frederick, MD 21702
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atekelt Tadese's NPI number?

The NPI number for Atekelt Tadese is 1801164066. It was assigned to this individual provider in the NPPES registry on December 2, 2011.

Where is Atekelt Tadese located?

Atekelt Tadese practices at 46-B Thomas Johnson Drive Suite 200, Frederick, MD 21702. The listed phone number is (301) 695-6777.

What is Atekelt Tadese's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Atekelt Tadese was last updated on June 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.