Organization
JOHNS HOPKINS UNIVERSITY
Active
Other names
JHU - TRANSPLANT/VASCULAR SURGERY
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21205-2101
(410) 550-8400
Mailing address
PO BOX 64563, BALTIMORE, MD 21264-4563
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
MD
2086S0129X
Vascular Surgery Physician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
768511400
—
MD
05
—
768511402
—
MD
01
—
CD6090
RRMC
MD
Enumeration date
11/10/2005
Last updated
07/21/2022
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