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Leul Abera Mulugeta

Internal Medicine

Allopathic & Osteopathic Physicians

4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981

PECOS Enrollment

This provider is enrolled in PECOS as LEUL MULUGETA.

Based on the most recent information from CMS, provider Leul Abera Mulugeta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:47 AM.

Profile Details

Provider ID
1134392483
Provider Type
Individual
Full Name
Mulugeta, Leul Abera
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/8/2008
Last Updated
2/8/2024

Contact Information

Practice Location

4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981

(757) 827-2127

(757) 827-2255

Mailing Location

4000 Coliseum Dr Ste 445, Hampton, VA 23666-5981

(757) 827-2127

(757) 827-2255

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101243060 Virginia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 0101243060 Virginia

Provider Identifiers

ID	Description	Issuer
ID 1134392483	Description Medicaid	Issuer Unlisted Virginia

Leul Abera Mulugeta

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Brown, William Edward

Jackson, Pamela E

Thomas, Fred Nicholas

Hampton Roads Internal Medicine

Benis, Yassine

Younger, Sarah Ann

Berrada, Driss

Sentara Medical Group

Williams, Gwendolyn Rowena

Johnson, Melvin Russell