Healthcare Provider Details

I. General information

NPI: 1881000172
Provider Name (Legal Business Name): MARIA KOENIGS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 05/28/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW STE 3W-800
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

1351 S COUNTY TRL BLDG 3
EAST GREENWICH RI
02818-5105
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-3659
  • Fax:
Mailing address:
  • Phone: 202-476-3659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD046931
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License NumberMD17094
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD17094
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: