Individual provider · Type 1 NPI

Victor David Ellis Iii, MD

Student in an Organized Health Care Education/Training Program · Gaithersburg, MD

NPI number 1003756362 Active

Practice location

655 Watkins Mill Rd
Gaithersburg, MD 20879-3301

Call (240) 632-4000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003756362

Victor David Ellis Iii, MD's National Provider Identifier is 1003756362, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gaithersburg, MD. The record was last updated on Mar 30, 2026.