Gordon, Gary Hart
Gordon, Gary Hart is an individual health care provider with primary practice located at 10810 Connecticut Ave Kaiser Permanente Kensington Medical Center, Kensington MD 20895-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gordon, Gary Hart can be contacted via phone (301) 929-7100.Contact Information
Primary practice address
10810 Connecticut Ave Kaiser Permanente Kensington Medical Center
Kensington MD 20895-2138
Phone: (301) 929-7100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD17505 | District of Columbia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101041082 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D36724 | Maryland |
Profile Details
| NPI number | 1124177167 |
|---|---|
| LBN Legal business name | Gordon, Gary Hart |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jan 18th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124177167 | NPPES |
| Maryland | MEDICAID | 800016054 |
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