Gancayco, Theodore A

Gancayco, Theodore A is an individual health care provider with primary practice located at 1160 Varnum St Ne Suite 011, Washington DC 20017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Gancayco, Theodore A can be contacted via phone (202) 529-5200.

Contact Information

Primary practice address
1160 Varnum St Ne Suite 011 Washington DC 20017
Phone: (202) 529-5200
Fax: (202) 269-3462
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0038919 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD20277 District of Columbia

Profile Details

NPI number 1932217262
LBN Legal business name Gancayco, Theodore A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Aug 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932217262 NPPES
Maryland MEDICAID 060221300

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