Basic Information
Provider Information
NPI: 1366761082
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KASID
FirstName: NATASHA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6430 ROCKLEDGE DRIVE
Address2: STE 300
City: BETHESDA
State: MD
PostalCode: 208171847
CountryCode: US
TelephoneNumber: 3014681451
FaxNumber: 3014683580
Practice Location
Address1: 6430 ROCKLEDGE DRIVE
Address2: STE 300
City: BETHESDA
State: MD
PostalCode: 208171847
CountryCode: US
TelephoneNumber: 3014681451
FaxNumber: 3014683580
Other Information
ProviderEnumerationDate: 05/19/2010
LastUpdateDate: 02/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207RE0101X268461MAN Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
207RE0101XD0093124MDY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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