Gabriel David Ivey, M.D.
Surgery in Washington, DC. Individual provider (NPI-1).
NPI number1376809293
StatusActive
Last updated in NPPESMar 9, 2023
Details
- NPI
- 1376809293
- Entity type
- Individual (NPI-1)
- Name
- Gabriel David Ivey
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2012
- Certification date
- Mar 9, 2023
- Last updated
- Mar 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD2100021634 | DC | Yes |
Practice location
3800 Reservoir Rd NwDept Of Surgery
Washington, DC 20007-2113
Phone 202-444-1233 · Fax 202-444-7422
Mailing address
4424 Reservoir Rd NwWashington, DC 20007-2041
Phone 510-381-0471
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