Provider Demographics
NPI:1386830776
Name:OBOITE, GABRIEL E (MD)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:E
Last Name:OBOITE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:7525 GREENWAY CENTER DR
Mailing Address - Street 2:STE 204
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3525
Mailing Address - Country:US
Mailing Address - Phone:240-542-4810
Mailing Address - Fax:240-254-3558
Practice Address - Street 1:7525 GREENWAY CENTER DRIVE
Practice Address - Street 2:SUITE 204
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:240-542-4810
Practice Address - Fax:240-254-3558
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2017-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCPH2893183500000X
MD11998183500000X
DCMD036361207Q00000X, 207RG0300X
MDD0068121207Q00000X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No183500000XPharmacy Service ProvidersPharmacist
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine