Provider Demographics
NPI:1821822719
Name:KATEBI KASHI, JAMSHID (MD)
Entity type:Individual
Prefix:
First Name:JAMSHID
Middle Name:
Last Name:KATEBI KASHI
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 1:5480 WISCONSIN AVE APT 1218
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3518
Mailing Address - Country:US
Mailing Address - Phone:703-462-3148
Mailing Address - Fax:
Practice Address - Street 1:5480 WISCONSIN AVE APT 1218
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-3518
Practice Address - Country:US
Practice Address - Phone:703-462-3148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD12427207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology