Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0060000 | MD |
N | 111NI0900X | Internist | D0060000 | MD |
Y | 207RH0003X | Hematology & Oncology | MD435022 | PA |
NPI | 1043201817 |
---|---|
Provider Name | Ed Ashtar |
First Address | Rockville, MD 20850-3254 |
Second Address | Rockville, MD 20850-3254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 10/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G80010 | (02) |