Healthcare Provider Details

I. General information

NPI: 1942549886
Provider Name (Legal Business Name): DUSTIN LEE GABLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE JOHNS HOPKINS HOSPITAL 600 NORTH WOLFE STREET
BALTIMORE MD
21287-2109
US

IV. Provider business mailing address

6201 GREENLEIGH AVE
BALTIMORE MD
21220-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-5000
  • Fax:
Mailing address:
  • Phone: 410-933-0000
  • Fax: 410-500-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0106554
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: