Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 0062283 | MD |
NPI | 1003832395 |
---|---|
Provider Name | Dr. Keith A Horvath |
First Address | Baltimore, MD 21211-2803 |
Second Address | Bethesda, MD 20814-1422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
415096100 | (05) | MD |
88558 | (02) |