Individual
HERMAN GIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 1500 NORTH TOWER, WASHINGTON, DC 20010-2927
(202) 829-2834
(202) 882-1274
Mailing address
11140 ROCKVILLE PIKE, SUITE 100, #335, ROCKVILLE, MD 20852-3106
(202) 557-4046
(202) 882-1274
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD20174
DC
207RI0011X
Interventional Cardiology Physician
MD20174
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022484200
—
DC
Enumeration date
09/15/2005
Last updated
03/02/2011
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