Healthcare Provider Details

I. General information

NPI: 1295027837
Provider Name (Legal Business Name): ANASTASIA GRIVOYANNIS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2011
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST STE 6321
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

111 MICHIGAN AVE NW STE M2601
WASHINGTON DC
20010-2916
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-7601
  • Fax:
Mailing address:
  • Phone: 202-476-2056
  • Fax: 202-851-5035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberD84903
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number0101276572
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD210002700
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD210002700
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberD84903
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number0101276572
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: