Provider Demographics
NPI:1235245820
Name:GURNY, PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:GURNY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14090 HG TRUEMAN RD
Mailing Address - Street 2:PO BOX 710, SUITE 2300
Mailing Address - City:SOLOMONS
Mailing Address - State:MD
Mailing Address - Zip Code:20688-3151
Mailing Address - Country:US
Mailing Address - Phone:410-449-6602
Mailing Address - Fax:410-449-6605
Practice Address - Street 1:14090 HG TRUEMAN RD
Practice Address - Street 2:SUITE 2300
Practice Address - City:SOLOMONS
Practice Address - State:MD
Practice Address - Zip Code:20688-3151
Practice Address - Country:US
Practice Address - Phone:410-449-6602
Practice Address - Fax:410-449-6605
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0026344207R00000X
MDD26344207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB92776Medicare UPIN