Healthcare Provider Details

I. General information

NPI: 1699952499
Provider Name (Legal Business Name): JASMINE CHEN GATTI MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2008
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8218 WISCONSIN AVE SUITE 302
BETHESDA MD
20814
US

IV. Provider business mailing address

8218 WISCONSIN AVE SUITE 302
BETHESDA MD
20814
US

V. Phone/Fax

Practice location:
  • Phone: 301-656-5671
  • Fax: 301-656-5672
Mailing address:
  • Phone: 301-656-5671
  • Fax: 301-656-5672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD00034726
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASMINE CHEN GATTI
Title or Position: PRESIDENT
Credential: MD
Phone: 301-656-5671