Individual
DR. KUNTAL RAJIV JIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
PO BOX 744785, ATLANTA, GA 30374-4785
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101267056
VA
207L00000X
Anesthesiology Physician
036129
DC
207LP3000X
Pediatric Anesthesiology Physician
0101267056
VA
207LP3000X
Pediatric Anesthesiology Physician
MT211626
PA
Other
Enumeration date
07/11/2006
Last updated
02/26/2025
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