Healthcare Provider Details

I. General information

NPI: 1831983733
Provider Name (Legal Business Name): LIAM CHARLES GIFFIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW DEPT OF INTERNAL MEDICINE
WASHINGTON DC
20007
US

IV. Provider business mailing address

3800 RESERVOIR RD NW DEPT OF INTERNAL MEDICINE
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-741-1250
  • Fax: 877-303-1460
Mailing address:
  • Phone: 202-741-1250
  • Fax: 877-303-1460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: