Elizabeth S Gantt, MD
Internal Medicine, Gastroenterology in Rockville, MD. Individual provider (NPI-1).
NPI number1619973963
StatusActive
Last updated in NPPESMar 1, 2013
Details
- NPI
- 1619973963
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elizabeth S Gantt
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2005
- Last updated
- Mar 1, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | D41612 | MD | Yes |
Practice location
9420 Key WestSuite 202
Rockville, MD 20850
Phone 301-251-9555 · Fax 301-309-0765
Mailing address
Po Box 37229Baltimore, MD 21297
Phone 240-485-5200 · Fax 301-625-6906
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