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NPI Code Detail

MEDICARE: JOHNS HOPKINS PERSONALIZED CARE

MEDICARE: JOHNS HOPKINS PERSONALIZED CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1669247086
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHNS HOPKINS PERSONALIZED CARE
Provider Business Mailing Address
First Line : 6201 GREENLEIGH AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-6430
Fax Number :
Provider Business Practice Location Address
First Line : 10751 FALLS RD STE 303
Second Line :
City : TIMONIUM
State : MD
Zip : 21093-4551
Country : US
Telephone Number : 410-933-1200
Fax Number :
Authorized Official
Title or Position : DIR PROVIDER ENROLLMENT
Name : SHAVONDA KEATING
Credential :
Telephone Number : 410-302-2229
Provider Enumeration Date : 11/15/2023
Last Update Date : 11/16/2023

Similar Medicare Providers

1477364651 — JOHNS HOPKINS COMMUNITY PHYSICIANS
Practice Location Address:
10751 FALLS RD STE 304
LUTHERVILLE TIMONIUM, MD
21093-4551
Practice Phone: 410-955-5000
Practice Fax:
1790505279 — JOHNS HOPKINS COMMUNITY PHYSICIANS
Practice Location Address:
10751 FALLS RD STE 304
LUTHERVILLE TIMONIUM, MD
21093-4551
Practice Phone: 410-933-0000
Practice Fax:
1659215952 — JOHNS HOPKINS UNIVERSITY
Practice Location Address:
10751 FALLS RD STE 304
LUTHERVILLE TIMONIUM, MD
21093-4551
Practice Phone: 410-825-0400
Practice Fax:
1639798747 — DR. TRACY Y DODD MD,PHD
Practice Location Address:
10751 FALLS RD STE 304
TIMONIUM, MD
21093-4551
Practice Phone: 410-847-3535
Practice Fax:
1699406652 — DR. DIANA OPEYEMI OMOYENI MD
Practice Location Address:
10751 FALLS RD STE 304
LUTHERVILLE TIMONIUM, MD
21093-4551
Practice Phone: 410-847-3535
Practice Fax: 410-367-2236
1184489791 — JOHNS HOPKINS PERSONALIZED CARE
Practice Location Address:
10751 FALLS RD STE 303
TIMONIUM, MD
21093-4551
Practice Phone: 410-933-1200
Practice Fax:

Directions to “JOHNS HOPKINS PERSONALIZED CARE ” Practice Location

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