Provider Demographics
NPI:1902094055
Name:JAMES GASHO MD PC
Entity Type:Organization
Organization Name:JAMES GASHO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:GASHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-986-1701
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:SUITE 650
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4404
Mailing Address - Country:US
Mailing Address - Phone:301-986-1701
Mailing Address - Fax:301-986-1703
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 650
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-986-1701
Practice Address - Fax:301-986-1703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056142207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF59244Medicare UPIN
MDG01042Medicare PIN