Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - MEDICINE/GERIATRICS, JHU -MEDICINE/GERIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNS HOPKINS UNIVERSITY
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization
Contact information
Practice address
600 N. WOLFE STREET, BALTIMORE, MD 21264-0001
(410) 558-5238
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055237400
—
DC
05
—
691105600
—
MD
01
—
CD2563
RRMC
MD
Enumeration date
10/21/2005
Last updated
07/21/2022
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