MEDICARE: DR. GHISLAINE FOUGY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D0018251	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689787079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GHISLAINE FOUGY MD

Provider Business Mailing Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 202
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1423
Country	:	US
Telephone Number	:	301-431-2500
Fax Number	:	410-848-8202

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE
Second Line	:	#202
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1400
Country	:	US
Telephone Number	:	301-431-2500
Fax Number	:	301-439-5927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	09/11/2025

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