Provider Demographics
NPI:1538155437
Name:TOLIA, ASHISH KISHORE (DO)
Entity type:Individual
Prefix:DR
First Name:ASHISH
Middle Name:KISHORE
Last Name:TOLIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1500 FOREST GLEN RD
Mailing Address - Street 2:PO BOX 83819, GAITHERSBURG MD 20883 FOR CORRESPONDENCE
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1483
Mailing Address - Country:US
Mailing Address - Phone:301-754-7991
Mailing Address - Fax:301-754-7990
Practice Address - Street 1:6201 ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:LANDOVER HILLS
Practice Address - State:MD
Practice Address - Zip Code:20784-1307
Practice Address - Country:US
Practice Address - Phone:301-276-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0064588207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I12087Medicare UPIN
2029179Medicare ID - Type Unspecified