Organization
JOHNS HOPKINS UNIVERSITY
Active
Other names
JHU - PSYCHIATRY/BEHAVIORAL HEALTH
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
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0500
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
669071800
—
MD
Enumeration date
03/04/2019
Last updated
03/08/2021
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