Provider Demographics
NPI:1487875779
Name:GAY FAMILY CARE, P.C.
Entity type:Organization
Organization Name:GAY FAMILY CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIONNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:GAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-722-4708
Mailing Address - Street 1:6323 GEORGIA AVE NW
Mailing Address - Street 2:SUITE 207
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1101
Mailing Address - Country:US
Mailing Address - Phone:202-722-4708
Mailing Address - Fax:202-722-7512
Practice Address - Street 1:6323 GEORGIA AVE NW
Practice Address - Street 2:SUITE 207
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1101
Practice Address - Country:US
Practice Address - Phone:202-722-4708
Practice Address - Fax:202-722-7512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC034406600Medicaid
DCG01396Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER