Healthcare Provider Details

I. General information

NPI: 1295364883
Provider Name (Legal Business Name): GABRIEL REYNALDO ARISMENDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR
BETHESDA MD
20892-0004
US

IV. Provider business mailing address

10 CENTER DR
BETHESDA MD
20892-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-496-4000
  • Fax:
Mailing address:
  • Phone: 301-496-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA11972500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: