MEDICARE: KIRA OGOSHI PA-C

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	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1831836527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRA OGOSHI PA-C

Provider Business Mailing Address
First Line	:	5454 WISCONSIN AVE STE 1535
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6922
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5454 WISCONSIN AVE STE 1535
Second Line	:
City	:	CHEVY CHASE
State	:	MD
Zip	:	20815-6922
Country	:	US
Telephone Number	:	301-652-8847
Fax Number	:	301-652-3751

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

Provider Enumeration Date	:	05/16/2022
Last Update Date	:	06/01/2026

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Directions to “ KIRA OGOSHI PA-C” Practice Location

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