Provider Demographics
NPI:1639143993
Name:GILBERT, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:GILBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3404 SHEPHERD ST
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-3224
Mailing Address - Country:US
Mailing Address - Phone:301-654-5558
Mailing Address - Fax:301-654-5558
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE # 1540
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-656-8100
Practice Address - Fax:301-652-2957
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0004150207W00000X
VA0101018821207W00000X
DCMD3618207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD245931100Medicaid
VA006307035Medicaid
DC024741300Medicaid
C61737Medicare UPIN
MD245931100Medicaid