Gardella, Dean
Gardella, Dean is an individual health care provider with primary practice located at 5755 Cedar Ln , Columbia MD 21044-2912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gardella, Dean can be contacted via phone (410) 740-7544.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD163925 | Oregon |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA10161700 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D96465 | Maryland |
Profile Details
| NPI number | 1174667034 |
|---|---|
| LBN Legal business name | Gardella, Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Jul 13th, 2023 - about 2 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 | 1174667034 | NPPES |
| Oregon | MEDICAID | 500660817 |
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