Provider Demographics
NPI:1760617054
Name:TOSHKEZI, GENTIAN (MD,)
Entity Type:Individual
Prefix:DR
First Name:GENTIAN
Middle Name:
Last Name:TOSHKEZI
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:DR
Other - First Name:GENTIAN
Other - Middle Name:
Other - Last Name:TOSHKEZI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,
Mailing Address - Street 1:11110 MEDICAL CAMPUS RD STE 249
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11110 MEDICAL CAMPUS RD STE 249
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6756
Practice Address - Country:US
Practice Address - Phone:301-790-8750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234542207T00000X
PAMD464768207T00000X
MDD97169207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery