Provider Demographics
NPI:1790798940
Name:BAKHSHI, GITA C (MD)
Entity Type:Individual
Prefix:DR
First Name:GITA
Middle Name:C
Last Name:BAKHSHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9404 OLD GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1722
Mailing Address - Country:US
Mailing Address - Phone:301-530-0331
Mailing Address - Fax:301-530-3466
Practice Address - Street 1:9406 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1722
Practice Address - Country:US
Practice Address - Phone:301-530-0331
Practice Address - Fax:301-530-3466
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDBB1175656174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB94993Medicare UPIN