Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD 00034726 | MD |
NPI | 1235141011 |
---|---|
Provider Name | Dr. Jasmine Gatti |
First Address | Bethesda, MD 20817 |
Second Address | Bethesda, MD 20814-3107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2006 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D43778 | (02) | MD |