Organization
JOHNS HOPKINS UNIVERSITY
Active
Parent organization
JOHNS HOPKINS UNIVERSITY
Other names
JHU - CARDIOLOGY
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 ST, BALTIMORE, MD 21287-0005
(410) 933-4397
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
MD
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
MD
207RI0011X
Interventional Cardiology Physician
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099240700
—
DC
05
—
767051600
—
MD
01
—
CL0061
RRMC
MD
Enumeration date
06/15/2005
Last updated
07/21/2022
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