Gordon, Gary Hart

Gordon, Gary Hart is an individual health care provider with primary practice located at 10810 Connecticut Ave Kaiser Permanente Kensington Medical Center, Kensington MD 20895-2138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gordon, Gary Hart can be contacted via phone (301) 929-7100.

Contact Information

Primary practice address
10810 Connecticut Ave Kaiser Permanente Kensington Medical Center Kensington MD 20895-2138
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD17505 District of Columbia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101041082 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D36724 Maryland

Profile Details

NPI number 1124177167
LBN Legal business name Gordon, Gary Hart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 18th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124177167 NPPES
Maryland MEDICAID 800016054

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