Provider Demographics
NPI:1699952499
Name:JASMINE CHEN GATTI MD LLC
Entity type:Organization
Organization Name:JASMINE CHEN GATTI MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:CHEN
Authorized Official - Last Name:GATTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-656-5671
Mailing Address - Street 1:8218 WISCONSIN AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-656-5671
Mailing Address - Fax:301-656-5672
Practice Address - Street 1:8218 WISCONSIN AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-656-5671
Practice Address - Fax:301-656-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD00034726207Q00000X
207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD43778Medicare UPIN
MDG02008Medicare PIN