Individual
GANGAGEE BALKISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
11701 LIVINGSTON ROAD, SUITE 308, FORT WASHINGTON, MD 20744-5146
(301) 292-7200
(301) 292-9639
Mailing address
11701 LIVINGSTON RD, SUITE 308, FORT WASHINGTON, MD 20744-5146
(301) 292-7200
(301) 292-9639
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D0023585
MD
208600000X
Surgery Physician
Primary
D23585
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011469900
—
DC
05
—
785341600
—
MD
Enumeration date
10/02/2006
Last updated
10/06/2014
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