Active NPI 1346257540 Individual Practitioner Male Practitioner

Dr. Avinash L. Ganti , MD

Surgery - Vascular Surgery • Baltimore, MD

Professional Overview & Biography Verified Profile Summary

Dr. Avinash Ganti, MD is a certified Surgery - Vascular Surgery practicing in Baltimore, MD. With approximately 28 years of clinical experience since completing medical education in 1998, Dr. Ganti delivers high-quality medical care to the local community at 3407 WILKENS AVE.

Dr. Ganti is affiliated with Johns Hopkins University and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers, ultrasound study of arm or leg veins with compression and maneuvers, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3407 Wilkens Ave
Suite 300

Baltimore, MD 212295072

Telephone 4106464888

Fax 4106462828

Associated Practice Facility / Clinic

🏢 Summit Ambulatory Surgical Center, Llc Facility NPI 1205023280

Medicare Profile & Education

Medical School

Other

Graduation Year

1998

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Baltimore, MD

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs Matches City Avg

City Avg: 28.0 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

43 Specialists

Practicing in Baltimore, MD (111 Statewide)

Telehealth Adoption Rate

20.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ganti (28 Years) 28 Yrs

Baltimore Specialty Average (28.0 Years) 28.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	226	212	$72.59	$21.22
93970 Ultrasound study of arm or leg veins with compression and maneuvers	218	207	$113.22	$33.29
99213 Established patient office or other outpatient visit, typically 15 minutes	200	148	$207.00	$67.38
93922 Ultrasound study of arm and leg arteries	176	137	$39.11	$12.10
93880 Ultrasound of both sides of head and neck blood flow	72	67	$96.94	$38.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$408.00	$134.51
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	50	35	$70.08	$24.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	44	$428.00	$133.68
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	39	36	$105.54	$38.73
93990 Ultrasound of dialysis access	30	26	$50.00	$24.01
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	25	18	$177.03	$84.05
75625 Radiological supervision and interpretation X-ray of abdominal aorta	21	20	$180.93	$68.90
93926 Ultrasound of one leg arteries or artery grafts	21	16	$80.46	$23.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$320.00	$84.11
93923 Complete ultrasound study of arm and leg arteries	16	15	$71.92	$22.13
93924 Ultrasound study of arteries of both legs at rest and exercise	13	13	$79.84	$24.20
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$207.00	$94.68
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$316.00	$79.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	286	267	$72.39	$22.53
93970 Ultrasound study of arm or leg veins with compression and maneuvers	277	261	$113.22	$34.99
99213 Established patient office or other outpatient visit, typically 15 minutes	214	149	$195.55	$69.78
93922 Ultrasound study of arm and leg arteries	209	162	$38.25	$12.97
93880 Ultrasound of both sides of head and neck blood flow	81	77	$95.97	$40.22
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	55	36	$68.94	$24.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$303.05	$88.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$408.00	$141.63
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	37	28	$173.25	$87.65
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	34	31	$104.16	$40.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$428.00	$138.26
75625 Radiological supervision and interpretation X-ray of abdominal aorta	27	24	$178.50	$71.46
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$316.00	$88.71
93990 Ultrasound of dialysis access	25	23	$47.82	$25.02
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	25	23	$286.89	$58.83
93926 Ultrasound of one leg arteries or artery grafts	25	20	$80.46	$23.98
93923 Complete ultrasound study of arm and leg arteries	17	16	$71.22	$23.12
93931 Ultrasound of one arm arteries or artery grafts	12	11	$49.80	$24.33
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	11	11	$867.00	$218.75
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	11	11	$4317.78	$252.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	340	311	$113.22	$36.23
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	298	276	$72.39	$23.06
99213 Established patient office or other outpatient visit, typically 15 minutes	163	121	$158.00	$70.94
93922 Ultrasound study of arm and leg arteries	152	129	$38.25	$13.23
93880 Ultrasound of both sides of head and neck blood flow	107	103	$95.97	$41.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$408.00	$143.56
99221 Initial hospital inpatient care per day, typically 30 minutes	56	54	$316.00	$107.09
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	44	31	$68.94	$25.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$239.00	$89.85
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	38	30	$173.25	$89.97
75625 Radiological supervision and interpretation X-ray of abdominal aorta	33	27	$178.50	$73.84
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	32	32	$104.16	$41.63
93990 Ultrasound of dialysis access	26	21	$40.92	$26.04
93926 Ultrasound of one leg arteries or artery grafts	26	25	$80.46	$24.91
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	21	19	$1497.00	$404.99
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	21	21	$286.89	$58.36
93924 Ultrasound study of arteries of both legs at rest and exercise	20	20	$79.08	$26.59
93931 Ultrasound of one arm arteries or artery grafts	19	17	$49.80	$25.75
36830 Connection of tube graft to vein and artery for dialysis	18	16	$2182.00	$723.03
93923 Complete ultrasound study of arm and leg arteries	16	16	$71.22	$24.07
36832 Revision of dialysis graft, open procedure	15	13	$1925.00	$800.46
36821 Relocation of arm vein with connection to arm artery, open procedure	14	11	$2312.00	$732.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$243.00	$104.79
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	11	11	$867.00	$236.71
35372 Removal of blood clot and portion of deep upper thigh artery	11	11	$3888.18	$903.44
11042 Removal of skin and tissue, 20.0 sq cm or less	11	11	$200.00	$65.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	373	342	$113.22	$35.93
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	364	337	$72.39	$23.52
93922 Ultrasound study of arm and leg arteries	144	128	$38.25	$14.02
99213 Established patient office or other outpatient visit, typically 15 minutes	128	97	$158.00	$72.62
93880 Ultrasound of both sides of head and neck blood flow	87	85	$95.97	$41.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$408.00	$147.93
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	52	47	$68.94	$25.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$239.00	$89.55
99221 Initial hospital inpatient care per day, typically 30 minutes	41	38	$316.00	$109.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$243.00	$107.86
93990 Ultrasound of dialysis access	26	25	$40.92	$26.58
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	26	26	$104.16	$42.47
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	23	21	$173.25	$91.95
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	23	23	$286.89	$61.00
93923 Complete ultrasound study of arm and leg arteries	21	20	$71.22	$23.68
93931 Ultrasound of one arm arteries or artery grafts	20	19	$49.80	$26.25
75625 Radiological supervision and interpretation X-ray of abdominal aorta	19	19	$178.50	$75.04
93926 Ultrasound of one leg arteries or artery grafts	18	18	$80.46	$25.51
36830 Connection of tube graft to vein and artery for dialysis	16	14	$2182.00	$731.54
36821 Relocation of arm vein with connection to arm artery, open procedure	16	16	$2312.00	$742.30
36832 Revision of dialysis graft, open procedure	15	14	$1925.00	$837.71
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	12	12	$867.00	$257.09
93924 Ultrasound study of arteries of both legs at rest and exercise	12	12	$79.08	$24.41
11042 Removal of skin and tissue, 20.0 sq cm or less	11	11	$200.00	$42.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	440	388	$115.51	$37.17
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	256	240	$72.39	$23.88
93922 Ultrasound study of arm and leg arteries	187	161	$38.25	$13.74
93880 Ultrasound of both sides of head and neck blood flow	103	101	$95.97	$42.98
99213 Established patient office or other outpatient visit, typically 15 minutes	99	82	$158.00	$54.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$408.00	$137.65
93926 Ultrasound of one leg arteries or artery grafts	45	42	$80.46	$26.19
99221 Initial hospital inpatient care per day, typically 30 minutes	40	34	$316.00	$110.11
93925 Ultrasound of leg arteries or artery grafts	37	33	$127.65	$42.27
93990 Ultrasound of dialysis access	34	33	$40.92	$27.31
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	34	33	$104.16	$41.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$239.00	$81.75
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	28	25	$68.94	$26.85
75625 Radiological supervision and interpretation X-ray of abdominal aorta	26	23	$178.50	$76.13
93931 Ultrasound of one arm arteries or artery grafts	26	24	$49.80	$26.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	21	$243.00	$85.00
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	22	22	$286.89	$60.62
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	18	17	$173.25	$93.87
11042 Removal of skin and tissue, 20.0 sq cm or less	16	14	$200.00	$48.28
37228 Balloon dilation of artery of leg, initial vessel	16	14	$1942.25	$592.07
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	15	14	$4317.78	$247.97
36821 Relocation of arm vein with connection to arm artery, open procedure	14	13	$2312.00	$750.85
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	13	11	$1612.15	$347.37
36246 Insertion of tube into abdominal, pelvic, or leg artery, initial second order branch	13	12	$867.00	$240.97
93924 Ultrasound study of arteries of both legs at rest and exercise	13	13	$79.08	$24.91
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$156.00	$53.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	218	155	$150.00	$77.95
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	155	150	$50.66	$24.00
93880 Ultrasound of both sides of head and neck blood flow	109	106	$453.10	$214.49
93923 Complete ultrasound study of arm and leg arteries	87	85	$305.12	$139.20
93970 Ultrasound study of arm or leg veins with compression and maneuvers	83	82	$78.68	$36.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$343.00	$177.24
93923 Complete ultrasound study of arm and leg arteries	61	56	$85.76	$23.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	51	$222.00	$117.15
93880 Ultrasound of both sides of head and neck blood flow	55	55	$87.65	$42.45
75625 Radiological supervision and interpretation X-ray of abdominal aorta	39	35	$129.85	$58.62
93922 Ultrasound study of arm and leg arteries	39	36	$255.00	$88.02
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	36	$267.88	$132.16
93970 Ultrasound study of arm or leg veins with compression and maneuvers	32	32	$436.91	$215.73
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	29	25	$139.03	$90.14
93925 Ultrasound of leg arteries or artery grafts	23	21	$645.00	$271.31
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	19	14	$26.00	$13.25
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$158.00	$54.59
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	15	15	$330.00	$125.79
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	15	15	$1069.73	$349.39
93924 Ultrasound study of arteries of both legs at rest and exercise	14	14	$444.00	$174.46
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	14	$126.00	$62.18
36821 Relocation of arm vein with connection to arm artery, open procedure	13	12	$1840.00	$736.49
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$316.00	$108.82
93926 Ultrasound of one leg arteries or artery grafts	12	12	$341.69	$136.55
93990 Ultrasound of dialysis access	12	12	$52.91	$26.79
36832 Revision of dialysis graft, open procedure	12	12	$1401.67	$836.83
37228 Balloon dilation of artery of leg, initial vessel	12	12	$1328.83	$609.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$408.00	$138.29
93926 Ultrasound of one leg arteries or artery grafts	11	11	$57.99	$26.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	147	116	$149.67	$75.77
93970 Ultrasound study of arm or leg veins with compression and maneuvers	125	120	$84.44	$36.65
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	78	75	$82.23	$23.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$220.22	$113.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$339.32	$173.42
93880 Ultrasound of both sides of head and neck blood flow	65	65	$85.03	$42.69
93923 Complete ultrasound study of arm and leg arteries	46	46	$72.09	$23.65
75625 Radiological supervision and interpretation X-ray of abdominal aorta	28	28	$126.46	$57.63
93880 Ultrasound of both sides of head and neck blood flow	25	24	$395.76	$224.20
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	21	19	$494.76	$219.31
93922 Ultrasound study of arm and leg arteries	20	20	$204.00	$86.57
93923 Complete ultrasound study of arm and leg arteries	18	17	$298.36	$138.02
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	17	15	$26.00	$13.54
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	16	16	$294.19	$123.61
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	15	15	$129.20	$92.05
93926 Ultrasound of one leg arteries or artery grafts	14	14	$315.00	$148.33
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	14	12	$1151.43	$317.31
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	13	$440.31	$212.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	175	$149.90	$75.19
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	224	216	$50.22	$22.78
93970 Ultrasound study of arm or leg veins with compression and maneuvers	210	204	$75.16	$35.70
93923 Complete ultrasound study of arm and leg arteries	116	112	$49.78	$23.12
93880 Ultrasound of both sides of head and neck blood flow	116	115	$66.90	$41.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$90.93	$45.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$223.97	$108.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$340.73	$168.49
75625 Radiological supervision and interpretation X-ray of abdominal aorta	36	34	$123.00	$56.91
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	32	27	$127.25	$58.99
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	30	29	$271.38	$125.34
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	29	29	$192.55	$60.56
93880 Ultrasound of both sides of head and neck blood flow	24	24	$417.67	$215.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$217.09	$113.56
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	21	$431.57	$189.31
37228 Balloon dilation of artery of leg, initial vessel	19	18	$1294.89	$531.40
93926 Ultrasound of one leg arteries or artery grafts	18	16	$42.00	$25.26
93923 Complete ultrasound study of arm and leg arteries	17	17	$306.32	$135.80
37224 Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure	14	13	$1077.71	$380.86
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	12	11	$693.83	$302.64

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License MD D0062145

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Hospital & Practice Group Affiliations

Johns Hopkins University

5755 Cedar Ln, Columbia, MD 210442912

Phone: 4107407544

Johns Hopkins University

5759 Cedar Ln, Columbia, MD 210442912

Phone: 4437183738

Johns Hopkins University

600 N Wolf St, Baltimore, MD 212870005

Phone: 4109555000

Johns Hopkins University

600 N Wolfe St, Baltimore, MD 212870005

Phone: 4105024340

Johns Hopkins University

4940 Eastern Ave, Baltimore, MD 212242735

Phone: 4105500100

Johns Hopkins University

6201 Greenleigh Ave, Middle River, MD 212202004

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Michael Zatina , MD

Surgery - Vascular Surgery

NPI 1376592923

Doctor of Medicine (M.D.)

Dr. Omar Karim , MD

Surgery - Vascular Surgery

NPI 1780973362

Doctor of Medicine (M.D.)

Dr. Donald Wilkerson , MD

Surgery - Vascular Surgery

NPI 1922045541

Doctor of Medicine (M.D.)

Dr. Vladimir Coca Soliz , MD

Surgery - Vascular Surgery

NPI 1952537995

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 28, 2013

Registered at 3407 WILKENS AVE, SUITE 300, BALTIMORE, MD 212295072 (Tel: 4106464888)

📍

Updated Business Mailing Address October 28, 2013

Registered at 3407 WILKENS AVE, SUITE 300, BALTIMORE, MD 212295072 (Tel: 4106464888)

👤

Provider Name / Credentials Updated October 28, 2013

Recorded as AVINASH GANTI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2013

Surgery (License #D0062145 in MD)

🟢

Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346257540

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 01, 2006

Last Update: October 28, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3407 Wilkens Ave, Suite 300

Baltimore, MD 212295072

Phone: 4106464888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.