Provider Demographics
NPI:1376510735
Name:GASHO, JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:GASHO
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 1:5530 WISCONSIN AVE
Mailing Address - Street 2:STE 540
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4451
Mailing Address - Country:US
Mailing Address - Phone:301-986-1701
Mailing Address - Fax:301-986-1703
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 650
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:301-986-1701
Practice Address - Fax:301-986-1703
Is Sole Proprietor?:No
Enumeration Date:2006-03-03
Last Update Date:2020-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD30102207X00000X
MDD0056142207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01042Medicare ID - Type Unspecified
F59244Medicare UPIN