Provider Demographics
NPI:1750487286
Name:GASHTI, ENAYAT N (MD)
Entity Type:Individual
Prefix:DR
First Name:ENAYAT
Middle Name:N
Last Name:GASHTI
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 1:6440 MCKNIGHT LOOP
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:34762-6887
Mailing Address - Country:US
Mailing Address - Phone:317-432-8889
Mailing Address - Fax:
Practice Address - Street 1:6440 MCKNIGHT LOOP
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:34762-6887
Practice Address - Country:US
Practice Address - Phone:317-432-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL112228207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IND7007Medicare UPIN