IndividualActive
Maya Gibson
NPI 1669058459 · Pediatric Critical Care Medicine Physician · Washington, DC
Provider details
- NPI number
- 1669058459
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2021023973 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
111 Michigan Ave Nw
Washington, DC 20010-2916
Phone: (202) 476-5694
Fax: (202) 476-4741
Approximate (ZIP-level) locationGet directions
Mailing address
111 Michigan Ave
Washington, DC 20010-2916
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2024-07-16
- Certified
- 2024-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.