Healthcare Provider Details
I. General information
NPI: 1285453795
Provider Name (Legal Business Name): JOHNS HOPKINS UNIVERSITY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/10/2024
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10840 LITTLE PATUXENT PKWY
COLUMBIA MD
21044-3115
US
IV. Provider business mailing address
6201 GREENLEIGH AVE
MIDDLE RIVER MD
21220-2004
US
V. Phone/Fax
- Phone: 410-933-0000
- Fax:
- Phone: 410-933-6423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085B0100X |
| Taxonomy | Body Imaging Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICHOLAS
GIARRATANO
Title or Position: AO
Credential:
Phone: 410-933-0000