Gt Health Llc | |
15204 Omega Dr Ste 240 Rockville MD 20850-4601 | |
(331) 661-2238 | |
Not Available |
Full Name | Gt Health Llc |
---|---|
Speciality | Internal Medicine |
Location | 15204 Omega Dr Ste 240, Rockville, Maryland |
Authorized Official Name and Position | Gerti Tashko (OWNER) |
Authorized Official Contact | 3016612238 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gt Health Llc 15204 Omega Dr Ste 240 Rockville MD 20850-4601 Ph: (331) 661-2238 | Gt Health Llc 15204 Omega Dr Ste 240 Rockville MD 20850-4601 Ph: (331) 661-2238 |
NPI Number | 1962987776 |
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Provider Enumeration Date | 09/27/2018 |
Last Update Date | 09/27/2018 |
Medicare PECOS PAC ID | 6608114004 |
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Medicare Enrollment ID | O20190211000669 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962987776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Cortney K Tashko |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659773034 PECOS PAC ID: 1456678473 Enrollment ID: I20150331001525 |
Provider Name | Gerti Tashko |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1669688024 PECOS PAC ID: 9739359464 Enrollment ID: I20150619000142 |
Provider Name | Jennifer Nimarko |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477108041 PECOS PAC ID: 0345678488 Enrollment ID: I20200324000295 |
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