Provider Demographics
NPI:1366761082
Name:KASID, NATASHA (MD)
Entity type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:
Last Name:KASID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 ROCKLEDGE DRIVE
Mailing Address - Street 2:STE 300
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1847
Mailing Address - Country:US
Mailing Address - Phone:301-468-1451
Mailing Address - Fax:301-468-3580
Practice Address - Street 1:6430 ROCKLEDGE DRIVE
Practice Address - Street 2:STE 300
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1847
Practice Address - Country:US
Practice Address - Phone:301-468-1451
Practice Address - Fax:301-468-3580
Is Sole Proprietor?:No
Enumeration Date:2010-05-19
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA268461207RE0101X
MDD0093124207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program