1538155437 NPI number — DR. ASHISH KISHORE TOLIA D.O.

Table of content: DR. ASHISH KISHORE TOLIA D.O. (NPI 1538155437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538155437 NPI number — DR. ASHISH KISHORE TOLIA D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TOLIA
Provider First Name:
ASHISH
Provider Middle Name:
KISHORE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538155437
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 FOREST GLEN RD
Provider Second Line Business Mailing Address:
PO BOX 83819, GAITHERSBURG MD 20883 FOR CORRESPONDENCE
Provider Business Mailing Address City Name:
SILVER SPRING
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20910-1483
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-754-7991
Provider Business Mailing Address Fax Number:
301-754-7990

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6201 ANNAPOLIS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANDOVER HILLS
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20784-1307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-276-3377
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  H0064588 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com