Healthcare Provider Details

I. General information

NPI: 1922531888
Provider Name (Legal Business Name): ASHA BARRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 MEDICAL PARK DR STE 200E
SILVER SPRING MD
20902-4053
US

IV. Provider business mailing address

8110 MAPLE LAWN BLVD STE 235
FULTON MD
20759-2694
US

V. Phone/Fax

Practice location:
  • Phone: 301-468-0073
  • Fax: 240-283-8412
Mailing address:
  • Phone: 832-325-7200
  • Fax: 713-512-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberD91770
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: