NPI Code Details Logo

NPI 1386830776

NPI 1386830776 : GABRIEL E OBOITE M.D. : GREENBELT, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1386830776
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    GABRIEL E OBOITE M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/19/2007
-----------------------------------------------------
    Last Update Date     |    03/08/2017
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7525 GREENWAY CENTER DRIVE SUITE 204
-----------------------------------------------------
    City                 |    GREENBELT
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20770-3525
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-542-4810
-----------------------------------------------------
    Fax                  |    240-254-3558
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    7525 GREENWAY CENTER DR STE 204
-----------------------------------------------------
    City                 |    GREENBELT
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20770-3525
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    240-542-4810
-----------------------------------------------------
    Fax                  |    240-254-3558
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    PH2893
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    183500000X
-----------------------------------------------------
    Taxonomy Name        |    Pharmacist
-----------------------------------------------------
    License Number       |    11998
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    MD036361
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    D0068121
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    207QG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    D0068121
-----------------------------------------------------
    License Number State |    MD
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207RG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
-----------------------------------------------------
    License Number       |    MD036361
-----------------------------------------------------
    License Number State |    DC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.