Morris L Gavant, MD
in Baltimore, MD. Individual provider (NPI-1).
NPI number1245274166
StatusActive
Last updated in NPPESJan 15, 2014
Details
- NPI
- 1245274166
- Entity type
- Individual (NPI-1)
- Name
- Morris L Gavant
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Last updated
- Jan 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085N0700X | D0055483 | MD | Yes | |
| 2085R0202X | Radiology, Diagnostic Radiology | D0055483 | MD |
Practice location
7253 Ambassador RdBaltimore, MD 21244-2710
Phone 443-436-1151 · Fax 443-436-1256
Mailing address
7253 Ambassador RdBaltimore, MD 21244-2710
Phone 443-436-1151 · Fax 443-436-1256
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