Provider Demographics
NPI:1326208265
Name:POWELL-DAVIS, MONIQUE MARGARETA (MD)
Entity Type:Individual
Prefix:DR
First Name:MONIQUE
Middle Name:MARGARETA
Last Name:POWELL-DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GALLATIN ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7533
Mailing Address - Country:US
Mailing Address - Phone:844-796-2797
Mailing Address - Fax:202-420-7172
Practice Address - Street 1:100 GALLATIN ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7533
Practice Address - Country:US
Practice Address - Phone:844-796-2797
Practice Address - Fax:202-420-7172
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0069577207V00000X
DCMD038080207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology