Henry, Gavin L

Henry, Gavin L is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Henry, Gavin L can be contacted via phone (410) 328-6366.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201
Phone: (410) 328-6366
Fax: (410) 328-0693
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D0053308 Maryland
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X D0053308 Maryland

Profile Details

NPI number 1033179098
LBN Legal business name Henry, Gavin L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 13th, 2018 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033179098 NPPES
Maryland MEDICAID 407680000
Maryland Other K51964580202
Maryland Other W6620199

Popular Providers