Kellman, Gary M.
Kellman, Gary M. is an individual health care provider with primary practice located at 2722 Merrilee Dr #230, Fairfax VA 22031-4400. He recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kellman, Gary M. can be contacted via phone (703) 698-4483.Contact Information
Primary practice address
2722 Merrilee Dr #230
Fairfax VA 22031-4400
Phone: (703) 698-4483
Fax: (703) 573-0880
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 0101048839 | Virginia |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 0101048839 | Virginia |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | 0101048839 | Virginia |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 0101048839 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0087855 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G183989 | California |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 0101048839 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 0101048839 | Virginia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 0101048839 | Virginia |
Profile Details
| NPI number | 1104844760 |
|---|---|
| LBN Legal business name | Kellman, Gary M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | May 18th, 2023 - about last year |
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 | 1104844760 | NPPES |
| Virginia | Other | 0030 | CAREFIRST BCBS |
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