NPI 1952320459 · live from the CMS NPI Registry
Tifani Davis Gilliam, MD
Radiology, Diagnostic Radiology in Silver Spring, MD. National Provider Identifier 1952320459, active.
NPI record
| NPI | 1952320459 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2121 Medical Park Dr, Ste 3, Silver Spring, MD 20902 |
| Practice phone | 301-681-3003 |
| Mailing address | 900 23rd St Nw, Washington, DC 20037 |
| Enumerated | July 18, 2006 |
| Last updated | January 20, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | MD035810 (DC) |
| Radiology, Diagnostic Radiology | 2085R0202X | D66654 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.