Healthcare Provider Details

I. General information

NPI: 1720468317
Provider Name (Legal Business Name): SANDRA GISELA WILLIAMS M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2015
Last Update Date: 08/23/2021
Certification Date: 08/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BUILDING 10, ROOM 10N-311 9000 ROCKVILLE PIKE
BETHESDA MD
20892-3733
US

IV. Provider business mailing address

BUILDING 10, ROOM 10N-311 9000 ROCKVILLE PIKE
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 15-946-0353
  • Fax:
Mailing address:
  • Phone: 301-594-3969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD85887
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: