Healthcare Provider Details
I. General information
NPI: 1740396761
Provider Name (Legal Business Name): GREATER WASHINGTON ONCOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10750 COLUMBIA PIKE STE 501
SILVER SPRING MD
20901-4402
US
IV. Provider business mailing address
10750 COLUMBIA PIKE SUITE 501
SILVER SPRING MD
20901-4402
US
V. Phone/Fax
- Phone: 301-593-9035
- Fax:
- Phone: 301-593-9035
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAM
SWARUP
TREHAN
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 301-593-9035