Garcia, Ivan Horacio

Garcia, Ivan Horacio is an individual health care provider with primary practice located at 2925 Lord Baltimore Dr. Ste 300, Baltimore MD 21244-2568. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Other Service Providers / Specialist is his primary health care specialty. Garcia, Ivan Horacio can be contacted via phone (410) 277-3937.

Contact Information

Primary practice address
2925 Lord Baltimore Dr. Ste 300 Baltimore MD 21244-2568
Phone: (410) 277-3937
Fax: (410) 281-9388
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X D0032680 Maryland
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0032680 Maryland

Profile Details

NPI number 1629074745
LBN Legal business name Garcia, Ivan Horacio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jul 2nd, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629074745 NPPES
Maryland MEDICAID 390291900

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