MORRIS L GAVANT (NPI# 1245274166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245274166 |
| Entity Type | Individual |
| Full Name | MORRIS L GAVANT |
| Credential | MD |
| Practice Address |
7253 Ambassador Rd Baltimore MD 21244-2710 |
| Practice Telephone | 4434361151 |
| Practice Fax Number | 4434361256 |
| Mailing Telephone | 4434361151 |
| Mailing Fax Number | 4434361256 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
D0055483 | MD | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D0055483 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 031000000 | 05 |
| Street Address |
7253 AMBASSADOR RD |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21244-2710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538156559 | David Randy Tabb | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2005-10-04 |
| 1487296471 | Maryland Imaging Network, PC | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2019-10-11 |
| 1730590068 | Anna Cherian | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2014-05-08 |
| 1811263122 | Manuel Soto-fournier | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244 | 2012-03-30 |
| 1578851192 | Puneet Singh Devgun | Internal Medicine | 7253 Ambassador Rd, Baltimore, MD 21244 | 2011-07-17 |
| 1851619522 | Edward Ahn | Internal Medicine | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2010-05-05 |
| 1811125115 | Deirdre A. Hansen | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2009-06-24 |
| 1588839526 | Manjiri Mukund Didolkar | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2008-04-29 |
| 1598968117 | Kevin E. Jarrell | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2007-06-10 |
| 1790987766 | Haleema Javid | Radiology | 7253 Ambassador Rd, Baltimore, MD 21244-2710 | 2007-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748468 | Sinnai Behavioral Health Services Inc | Psychiatric Residential Treatment Facility | 3610 Milford Road, Third Floor, Baltimore, MD 21244 | 2020-07-23 |
| 1023655370 | Flourish Healthcare Solutions, LLC | Home Health Aide | 3517 Langrehr Road, Suite 106a, Windsor Hill, MD 21244 | 2019-12-05 |
| 1265078471 | Chika Cares Pre-diabetes Workshop LLC | Public Health or Welfare | St Gabriel Church, 6950 Dogwood Rd, Windsor Mill, MD 21244 | 2019-11-22 |
| 1306318761 | Elana Rose Dorfman | Social Worker | 7205 Rutherford Road, Windsor Mill, MD 21244 | 2018-12-26 |
| 1235618406 | Stacy Solte Antonio | Physical Therapy Assistant | 7141 Security Blvd., Woodlawn, MD 21244 | 2018-08-08 |
| 1831675446 | Martha Marie Brown | Behavior Technician | 7901 Subet Rd, Windsor Mill, MD 21244 | 2018-07-17 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1235640475 | Kingsley Awah | Home Health Aide | 7932 Dunhill Village Cir, Windsor Mill, Baltimore, MD 21244 | 2017-10-16 |
| 1316465917 | Elizabeth Duggan | Occupational Therapist | 7141 Security Blvd, Md 21244, Baltimore, MD 21244 | 2017-09-03 |
| 1326565052 | Latoya Womack | Registered Nurse | 7102 Burford Ct Apt 301, Windsor Mill, MD 21244 | 2017-08-24 |
| Find all providers in zip 21244 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407230485 | Melike Guryildirim | Radiology | 4940 Eastern Ave Bldg 1, Baltimore, MD 21224-2735 | 2015-07-19 |
| 1053671636 | Nishanth Khanna | Radiology | 1800 Orleans St # 7128, Baltimore, MD 21287-0010 | 2012-05-17 |
| 1003198938 | Ravishankar Shivashankar | Radiology | 22 S Greene St # G2k14, Baltimore, MD 21201-1544 | 2011-09-16 |
| 1467598565 | Gerald Martin Wyse | Radiology | 600 N Wolfe Stree, Baltimore, MD 21287-0001 | 2007-01-29 |
| 1437203346 | Ovsev Uzuner | Radiology | 600 N Wolfe St # 108, Baltimore, MD 21287-0005 | 2007-01-22 |
| 1942788906 | Vijay Krishnan | Radiology | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2018-08-01 |
| 1669883898 | Ryan J Kim | Radiology | 22 S Greene St, Department of Radiology, Baltimore, MD 21201-1544 | 2014-05-09 |
| 1780022582 | Lorenna Lourhance Moreira Vidal | Radiology | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2013-06-13 |
| 1467794446 | Matthew Paul Kiczek | Radiology | 600 N Wolfe St, Baltimore, MD 21287 | 2013-03-18 |
| 1700131760 | David B Badger | Radiology | 601 N Caroline St, Baltimore, MD 21287-0006 | 2012-07-16 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.