MRS. TIFANI DAVIS GILLIAM MD NPI 1952320459

NPI Information

NPI: 1952320459
Provider Name: MRS. TIFANI DAVIS GILLIAM, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
2121 MEDICAL PARK DR
STE 3
SILVER SPRING, MD
ZIP 20902
Phone: (301) 681-3003
Get Directions

MRS. Tifani Davis Gilliam, MD is a diagnostic radiology radiology in Silver Spring, MD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MRS. Tifani Davis Gilliam, MD NPI is 1952320459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2121 MEDICAL PARK DR
STE 3
SILVER SPRING, MD
ZIP 20902-054
Phone: (301) 681-3003

The enumeration date for this NPI number is 7/18/2006 and was last updated on 1/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	D66654	MARYLAND	No
2	2085R0202X	Radiology	Diagnostic Radiology	MD035810	DISTRICT OF COLUMBIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	003721C85	MEDICARE PIN	DISTRICT OF COLUMBIA
2	410243601	MEDICAID	MARYLAND
3	194821YXF	MEDICARE PIN	DISTRICT OF COLUMBIA
4	003721D05	MEDICARE PIN	DISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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