Provider Demographics
NPI:1093591422
Name:GIMEDHEALTH
Entity Type:Organization
Organization Name:GIMEDHEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RADMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSTAGHIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-982-7900
Mailing Address - Street 1:7305 HANOVER PARKWAY SUITE A
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3665
Mailing Address - Country:US
Mailing Address - Phone:301-982-7900
Mailing Address - Fax:240-553-9611
Practice Address - Street 1:7305 HANOVER PARKWAY SUITE A
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3665
Practice Address - Country:US
Practice Address - Phone:301-982-7900
Practice Address - Fax:240-553-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty