Individual
JESUS BENJAMIN UNTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MEDICAL DEGREE
Contact information
Practice address
8903 SHADY GROVE COURT, GAITHERSBURG, MD 20877
(301) 330-4400
(301) 330-7343
Mailing address
8903 SHADY GROVE COURT, GAITHERSBURG, MD 20877
(301) 330-4400
(301) 330-7343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D28671
MD
207RG0100X
Gastroenterology Physician
Primary
D28671
MD
Other
Enumeration date
04/20/2007
Last updated
09/11/2025
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