Selam Medical Service LLC

Primary specialty

Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X

License

MD035237 Issued in DC

Legal business name

SELAM MEDICAL SERVICE LLC

Practice address

1328 Southern Ave SE
Suite 205
Washington, DC 20032-4689

Phone

(202) 544-7744

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Russom Bariaghaber Ghebrai, M.D.

Title

Sole MBR

Phone

(301) 502-6912

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1982930517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SLIGO AVE",
            "address_2": "APT 313",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104765",
            "telephone_number": "301-588-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "202-544-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAM MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "GHEBRAI",
        "authorized_official_first_name": "RUSSOM",
        "authorized_official_middle_name": "BARIAGHABER",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "301-502-6912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "DC",
            "license": "MD035237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059550700",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rupa Polisetty Sekhar, M.D.
• Daisuke Sekine, MS, LAT, ATC, LMT
• Diallo Sekou
• Remy Sekpe
• Grace Sekscienski
• Joel Selanikio
• Adachi Selas
• Lulseged G Selassie, MD
• Arif Selcuk
• Elizabeth Selden, M.D.

• All providers in Washington, DC
• Adolescent Medicine (Internal Medicine) Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.