Provider Demographics
NPI:1164415352
Name:GALVIN III, THOMAS K (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:GALVIN III
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:826 WASHINGTON RD STE 120
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5779
Mailing Address - Country:US
Mailing Address - Phone:410-848-2444
Mailing Address - Fax:
Practice Address - Street 1:826 WASHINGTON RD STE 120
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5779
Practice Address - Country:US
Practice Address - Phone:410-848-2444
Practice Address - Fax:410-857-1634
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD31660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD110202167OtherRAILROAD MEDICARE
MD522117444 21157 A001OtherTRICARE
MDKH04CAOtherBC/BS
MD35438803OtherBC/BS RENDERING
MD522117444OtherCIGNA HEALTHCARE
MD522117444OtherAETNA
MD744400100Medicaid
MD861917OtherMAMSI
MD403281100Medicaid
MD625098OtherUNITED HEALTHCARE
MD801369OtherJOHNS HOPKINS HEALTHCARE