Provider Demographics
NPI:1982968251
Name:CUNDIFF, BIANCA CHAVONNE (MD)
Entity Type:Individual
Prefix:MISS
First Name:BIANCA
Middle Name:CHAVONNE
Last Name:CUNDIFF
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:SIBLEY MEMORIAL HOSPITAL
Mailing Address - Street 2:5255 LOUGHBORO RD NW
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:SIBLEY MEMORIAL HOSPIRAL
Practice Address - Street 2:5255 LOUGHBORO RD NW
Practice Address - City:WASHINGTON DC
Practice Address - State:DC
Practice Address - Zip Code:20016-3018
Practice Address - Country:US
Practice Address - Phone:202-243-2280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0090734207L00000X
PAMT202524390200000X
DCMD044342207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program