| Doctor Name: | TOBY B KARYADI |
| NPI Number: | 1013170422 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | R177118 |
| Business Practice Address: | 18550 Office Park Dr Gaithersburg, MD - 208860586 |
| Business Phone Number: | 3013302700 |
| Business Fax Number: | 3019907170 |
| Mailing Address: | Po Box 384, GARRETT PARK |
| State: | MD |
| Postal Code: | 208960384 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/07/2008 |
| NPI Last Update Date: | 07/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R177118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |