UJWAL GAUTAM (NPI# 1669885646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669885646 |
| Entity Type | Individual |
| Full Name | UJWAL GAUTAM |
| Credential | MD |
| Practice Address |
22 S Greene St Baltimore MD 21201 |
| Mailing Address |
Po Box 64442 Baltimore MD 21264-4442 |
| Practice Telephone | 4103285720 |
| Practice Fax Number | 4103285685 |
| Mailing Telephone | 4103288040 |
| Mailing Fax Number | 4434623514 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
D85860 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16 S Eutaw St, Baltimore, MD 212011606 | 4103285720 | 4103285685 |
| 419 W Redwood St Ste 600, Baltimore, MD 212017000 | 6672141515 | 4103288326 |
| 546 Kinsale Rd, Lutherville Timonium, MD 210937420 | 4438476388 | |
| 827 Linden Ave, Baltimore, MD 212014606 | 4107064771 | 4107060345 |
| Street Address |
22 S GREENE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383063 | Malinda Daniel Duke | Nurse Practitioner | 22 S Greene St, Rm N6w84, Baltimore, MD 21201-1544 | 2005-06-01 |
| 1891396784 | Tamara Wiseman | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-11-05 |
| 1063012664 | Shawna Marie Hutton | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-11-01 |
| 1124625413 | Kerry Ann Lambert | Pharmacist | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-08 |
| 1730786104 | Joseph William Russo | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-10-07 |
| 1295342327 | Leah Marie Dubose | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-23 |
| 1275147167 | Rosalynn Joy Allen | Registered Nurse | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-09-08 |
| 1174137269 | Keiara Williams | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1699389858 | Caitlin Lauren Thomas | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-09-04 |
| 1639782568 | Anna Pfouts | Nurse Practitioner | 22 S Greene St, Baltimore, MD 21201-1544 | 2020-08-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962744268 | Mohamad Hanouneh | Internal Medicine | 5601 Loch Raven Blvd Ste 3n, Baltimore, MD 21239 | 2013-03-25 |
| 1699012575 | Ramnika Iqbal Singh Gumber | Internal Medicine | 1830 E. Monument Street, 4th Floor, Suite 416, Baltimore, MD 21287 | 2013-01-11 |
| 1073805891 | Folatomi Agbe-davies | Internal Medicine | 6830 Hospital Dr Ste 204, Baltimore, MD 21237-4377 | 2011-05-12 |
| 1194954818 | Jonathan D. Philipson, M.d. & Associates, LLC | Internal Medicine | 13 Diamond Crest Ct, Baltimore, MD 21209-1500 | 2009-07-02 |
| 1588807408 | Keiko Iwahara Greenberg | Internal Medicine | 1830 E Monument St Ste 416, Baltimore, MD 21287-0020 | 2009-04-07 |
| 1497916829 | Belinda Thet Htar Lee | Internal Medicine | 5601 Loch Raven Blvd Fl 3, Baltimore, MD 21239-2945 | 2008-06-18 |
| 1922144385 | Nancy N Xu | Internal Medicine | 1830 Building, 4th Floor, 1830 East Monument Street, Baltimore, MD 21205 | 2007-01-30 |
| 1659428118 | Metro Renal Associates LLC | Internal Medicine | 821 N Eutaw St Ste 407, Baltimore, MD 21201-6304 | 2007-01-05 |
| 1245393925 | Barry Maynard Straube | Internal Medicine | 1 W Hill St, Baltimore, MD 21230-3842 | 2006-12-18 |
| 1831279892 | Chirag R Parikh | Internal Medicine | 301 Mason Lord Dr Ste 2500, Baltimore, MD 21224 | 2006-10-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.