Provider Demographics
NPI:1023083615
Name:REEVES, ELIZABETH THOMAS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:THOMAS
Last Name:REEVES
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:KATHERINE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:KIMBROUGH AMBULATORY CARE CENTER
Mailing Address - Street 2:2480 LLEWELLYN AVENUE
Mailing Address - City:FORT GEORGE G. MEADE
Mailing Address - State:MD
Mailing Address - Zip Code:20755-7081
Mailing Address - Country:US
Mailing Address - Phone:301-677-8751
Mailing Address - Fax:301-677-8013
Practice Address - Street 1:KIMBROUGH AMBULATORY MEDICAL CENTER
Practice Address - Street 2:2480 LLEWELLYN AVENUE
Practice Address - City:FORT GEORGE G. MEADE
Practice Address - State:MD
Practice Address - Zip Code:20755
Practice Address - Country:US
Practice Address - Phone:301-677-8800
Practice Address - Fax:301-677-8013
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012356762083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine