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Contact Information

JESUS B UNTIVEROS, MEDICAL DEGREE
8903 SHADY GROVE COURT
GAITHERSBURG, MD20877
 Phone: 301-330-4400
 Fax: 301-330-7343
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JESUS B UNTIVEROS · (Male)

NPI Number 1114145877
Status Active
Credentials MEDICAL DEGREE
Entity Individual
Enumeration date 04/20/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • MD License # D28671
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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