Healthcare Provider Details

I. General information

NPI: 1497785307
Provider Name (Legal Business Name): JOHNS HOPKINS EMERGENCY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 02/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5575 CEDAR LN
COLUMBIA MD
21044-2741
US

IV. Provider business mailing address

5585 BROADWATER LN
CLARKSVILLE MD
21029-1156
US

V. Phone/Fax

Practice location:
  • Phone: 410-884-4888
  • Fax: 410-884-4887
Mailing address:
  • Phone: 410-531-9054
  • Fax: 410-531-9005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License NumberD40734
License Number StateMD

VIII. Authorized Official

Name: DR. NUZHAT N HANDOO
Title or Position: ATTENDING
Credential: M.D
Phone: 410-884-4888