Wondwossen Yilma Dererie, M.D. Valid NPI

Individual provider · Internal Medicine Physician · Suffolk, VA

NPI

1760793897

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

0101254930 (VA)

Sex

Male

Sole proprietor

Yes

Enumerated

2010-06-23

Last updated

2021-10-04