# JOHNS HOPKINS UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JHU - TRANSPLANT/VASCULAR SURGERY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124009758
- **Authorized official:** SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
- **Authorized official phone:** (410) 933-6430

## Contact information

- **Practice address:** 600 N WOLFE ST, BALTIMORE, MD 21205-2101
- **Practice address phone:** (410) 550-8400
- **Mailing address:** PO BOX 64563, BALTIMORE, MD 21264-4563

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | MD | Yes |
| 2086S0129X | Vascular Surgery Physician | — | MD | — |

## Other

- **Enumeration date:** 11/10/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 768511400 | — | MD |
| 05 | — | 768511402 | — | MD |
| 01 | — | CD6090 | RRMC | MD |