Provider Demographics
NPI:1992058952
Name:COHEN, GAD (MD)
Entity type:Individual
Prefix:DR
First Name:GAD
Middle Name:
Last Name:COHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8905 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-3560
Mailing Address - Country:US
Mailing Address - Phone:240-752-7133
Mailing Address - Fax:
Practice Address - Street 1:8905 HEMPSTEAD AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-3560
Practice Address - Country:US
Practice Address - Phone:240-752-7133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ21290207Q00000X, 261QC1500X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health