Provider Demographics
NPI:1114557618
Name:BARTCHE, GANI P
Entity Type:Individual
Prefix:
First Name:GANI
Middle Name:P
Last Name:BARTCHE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5423 16TH AVE APT 202
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3414
Mailing Address - Country:US
Mailing Address - Phone:202-597-6083
Mailing Address - Fax:
Practice Address - Street 1:5423 16TH AVE APT 202
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-3414
Practice Address - Country:US
Practice Address - Phone:202-597-6083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide