Medhane Tesfamichael

Primary specialty

Radiography Radiologic TechnologistTaxonomy code 2471C3402X

License

R0014611 Issued in MD

Practice address

733 S Frederick Ave
Gaithersburg, MD 20877-4118

Phone

(130) 186-9070

NPI assigned

Jul 1, 2026

Last updated

Jul 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1396662193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 GRIFFIN CIR",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208719245",
            "telephone_number": "240-722-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 S FREDERICK AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774118",
            "telephone_number": "130-186-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAMICHAEL",
        "first_name": "MEDHANE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "MD",
            "license": "R0014611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiography Radiologic Technologist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Radiography Radiologic Technologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.