NPI 1104815794 · live from the CMS NPI Registry
Paul T Gavaris, MD
Ophthalmology in Washington, DC. National Provider Identifier 1104815794, active.
NPI record
| NPI | 1104815794 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4910 Massachusetts Ave Nw, Ste 21, Washington, DC 20016 |
| Practice phone | 202-686-0239 |
| Enumerated | October 17, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | MD4319 (DC) |
| Ophthalmology | 207W00000X | 0101022547 (VA) |
| Ophthalmology | 207W00000X | D0017297 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.