Provider Demographics
NPI:1528353406
Name:GAPUD, ERIC JONAS (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JONAS
Last Name:GAPUD
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:5501 BAYVIEW CIRCLE
Mailing Address - Street 2:ASTHMA AND ALLERGY BUILDING, SUITE 1B.1
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2734
Mailing Address - Country:US
Mailing Address - Phone:410-550-6826
Mailing Address - Fax:410-550-6830
Practice Address - Street 1:5200 EASTERN AVE
Practice Address - Street 2:MFL BUILDING, CENTER TOWER, SUITE 4100
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2734
Practice Address - Country:US
Practice Address - Phone:410-550-6826
Practice Address - Fax:410-550-6830
Is Sole Proprietor?:No
Enumeration Date:2011-06-18
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD82962207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM90719OtherMARYLAND CDS
MDD82962OtherMARYLAND STATE PHYSICIAN LICENSE
MDD82962OtherMARYLAND STATE PHYSICIAN LICENSE