Healthcare Provider Details

I. General information

NPI: 1174442370
Provider Name (Legal Business Name): RASHID GARY KIRKLAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 W ST SE APT 4
WASHINGTON DC
20020-4217
US

IV. Provider business mailing address

1700 W ST SE APT 4
WASHINGTON DC
20020-4217
US

V. Phone/Fax

Practice location:
  • Phone: 202-431-6588
  • Fax:
Mailing address:
  • Phone: 202-431-6588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number69797B
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: