Provider Demographics
NPI:1962987776
Name:GT HEALTH LLC
Entity type:Organization
Organization Name:GT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERTI
Authorized Official - Middle Name:
Authorized Official - Last Name:TASHKO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-661-2238
Mailing Address - Street 1:15204 OMEGA DR STE 240
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-4601
Mailing Address - Country:US
Mailing Address - Phone:331-661-2238
Mailing Address - Fax:
Practice Address - Street 1:15204 OMEGA DR STE 240
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4601
Practice Address - Country:US
Practice Address - Phone:331-661-2238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid