Provider Demographics
NPI:1871744987
Name:GEMELLI, RALPH JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:JOSEPH
Last Name:GEMELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4837 LOUGHBORO RD NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3454
Mailing Address - Country:US
Mailing Address - Phone:202-460-3267
Mailing Address - Fax:202-318-6598
Practice Address - Street 1:4837 LOUGHBORO RD NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3454
Practice Address - Country:US
Practice Address - Phone:202-460-3267
Practice Address - Fax:202-318-6598
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD85672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCC590006386OtherPHYSICIAN (M.D.) CONTROLLED SUBSTANCES NUMBER