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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLISA DEANDRA GIBSON, MBBS

Active Sole Proprietor

CHARLISA DEANDRA GIBSON, MBBS is a Critical Care Medicine healthcare provider located in GLEN BURNIE, Maryland. NPI 1205102753 is currently active in the NPPES registry. Verify at CMS.

Critical Care Medicine · GLEN BURNIE, MD

Registration Details

NPI Number
1205102753
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2012 (14.359005210328 yrs)
Last Updated
Dec 16, 2025
Licenses
D0090376 (MD)
284648 (NY)
Sole Proprietor
Yes

Practice Information

Address
255 HOSPITAL DR FL 3
GLEN BURNIE, MD, 210616356
Browse MD providers · Browse ZIP 21061
Phone
4105538240
Fax
4105538239
Primary Specialty
Critical Care Medicine
207RC0200X
Additional Specialty
Critical Care Medicine

Other Critical Care Medicine Providers in GLEN BURNIE, MD

Name Credential NPI
GUILLERMO GIANGRECO MD 1255321030
DAVID A VITBERG MD 1720025182
DR. VADIM EDWARD KORKHOV M.D. 1790725315
MRS. KIMBERLY DAWN GILBERT CRNP 1649843962
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.