Organization
BIVINS FAMILY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY DERECK BIVINS MD (SOLE MBR)
(202) 288-9573
Entity
Organization
Contact information
Practice address
140 Q ST NE STE 100, WASHINGTON, DC 20002-2101
(202) 636-9411
(202) 636-9415
Mailing address
1500 N GATE RD NW, WASHINGTON, DC 20012-1220
(202) 288-9573
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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