Individual
THEODORE A GANCAYCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1160 VARNUM ST NE STE 11, WASHINGTON, DC 20017-2110
(202) 529-5200
(202) 269-3462
Mailing address
2661 RIVA RD STE 1030, ANNAPOLIS, MD 21401-7131
(667) 354-5528
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0038919
MD
207W00000X
Ophthalmology Physician
Primary
MD20277
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060221300
—
MD
Enumeration date
08/28/2006
Last updated
03/21/2026
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