| Krishnaj Gourab, | |
|
2200 Kernan Dr, Gwynn Oak, MD 21207-6665 | |
| (410) 550-1715 | |
| Not Available |
| Full Name | Krishnaj Gourab |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 27 Years |
| Location | 2200 Kernan Dr, Gwynn Oak, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538394242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083C0008X | Preventive Medicine - Clinical Informatics | D76155 (Maryland) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | D76155 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Umd Rehabilitation & Orthopaedic Institute | Baltimore, MD | Hospital |
| University Of Maryland Medical Center | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland Community Medical Group Inc | 3678472214 | 446 |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Entity Name | University of Maryland Community Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477530624 PECOS PAC ID: 3678472214 Enrollment ID: O20040102000687 |
| Mailing Address | Practice Location Address |
|---|---|
| Krishnaj Gourab, 2200 Kernan Dr, Gwynn Oak, MD 21207-6665 Ph: (410) 448-6895 | Krishnaj Gourab, 2200 Kernan Dr, Gwynn Oak, MD 21207-6665 Ph: (410) 550-1715 |
Melissa Learned, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2200 Kernan Dr, Gwynn Oak, MD 21207 Phone: 410-448-2500 |