Individual
KRISHNAJ GOURAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 KERNAN DR, GWYNN OAK, MD 21207-6665
(410) 550-1715
Mailing address
2200 KERNAN DR, GWYNN OAK, MD 21207-6665
(410) 448-6895
(410) 448-2895
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D76155
MD
2083C0008X
Clinical Informatics Physician
D76155
MD
Other
Enumeration date
05/26/2009
Last updated
03/22/2019
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