Untiveros, Jesus Benjamin
Untiveros, Jesus Benjamin is an individual health care provider with primary practice located at 8903 Shady Grove Court , Gaithersburg MD 20877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Untiveros, Jesus Benjamin can be contacted via phone (301) 330-4400.Contact Information
Primary practice address
8903 Shady Grove Court
Gaithersburg MD 20877
Phone: (301) 330-4400
Fax: (301) 330-7343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D28671 | Maryland |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D28671 | Maryland |
Profile Details
| NPI number | 1114145877 |
|---|---|
| LBN Legal business name | Untiveros, Jesus Benjamin |
| Credentials | MEDICAL DEGREE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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