Individual
GERTI TASHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15204 OMEGA DR STE 240, ROCKVILLE, MD 20850
(301) 658-3586
(240) 427-4704
Mailing address
15204 OMEGA DR STE 240, ROCKVILLE, MD 20850-4841
(301) 658-3586
(240) 427-4704
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD443090
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D0079388
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD443090
PA
207RH0005X
Hypertension Specialist Physician
D79388
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102622218
—
PA
01
—
1599272
GATEWAY
PA
01
—
2649292
HIGHMARK BLUE SHIELD
PA
01
—
30100881
AMERIHEALTH MERCY-WMG
PA
01
—
417113
UPMC
PA
Enumeration date
05/15/2007
Last updated
10/24/2019
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