Provider Demographics
NPI:1730322462
Name:GIBB, ELIZABETH RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RACHEL
Last Name:GIBB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:RACHEL
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:UCSF PEDIATRICS M691
Mailing Address - Street 2:505 PARNASSUS BOX 0110
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-6245
Mailing Address - Fax:415-476-4009
Practice Address - Street 1:UCSF PEDIATRICS M691
Practice Address - Street 2:505 PARNASSUS BOX 0110
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-6245
Practice Address - Fax:415-476-4009
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA107119208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN