Individual provider Active NPI

David Gan, M.D., DR.PH

  • Public Health & General Preventive Medicine Physician
  • Rockville, MD
National Provider Identifier
1497073092
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
024523 Issued in LA
Practice address
14316 Travilah Rd
Rockville, MD 20850-3527
Phone
(301) 529-6821
NPI assigned
May 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 024523 LA Primary

Addresses

Primary practice location

14316 Travilah Rd
Rockville, MD 20850-3527

Mailing address

14316 Travilah Rd
Rockville, MD 20850-3527
Phone (301) 529-6821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024523LAMDPublic Health & General Preventive Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1497073092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14316 TRAVILAH RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503527",
            "telephone_number": "301-529-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14316 TRAVILAH RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503527",
            "telephone_number": "301-529-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D., DR.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "LA",
            "license": "024523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.