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1922006980

NPI Code Detail

MEDICARE: GRIFFIN L DAVIS MD

MEDICARE: GRIFFIN L DAVIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	33616	DC
2	207P00000X	Emergency Medicine Physician	D0063688	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00268360	OTHER	DC	RAILROAD MED
2	75859901	OTHER	MD	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	J8790001	OTHER	DC	BLUE SHIELD

General Provider Information

NPI Number	:	1922006980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRIFFIN L DAVIS MD

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-933-0000
Fax Number	:	410-500-4266

Provider Business Practice Location Address
First Line	:	3800 RESERVOIR RD NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-2113
Country	:	US
Telephone Number	:	202-444-2119
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	01/13/2026

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Directions to “ GRIFFIN L DAVIS MD” Practice Location

Language	Start Address	Practice Location

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