Provider Demographics
NPI:1194067942
Name:HARRIS, CURTIS CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:CRAIG
Last Name:HARRIS
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 1:4720 WAVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:GARRETT PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20896-1509
Mailing Address - Country:US
Mailing Address - Phone:301-496-2048
Mailing Address - Fax:
Practice Address - Street 1:4720 WAVERLY AVE
Practice Address - Street 2:
Practice Address - City:GARRETT PARK
Practice Address - State:MD
Practice Address - Zip Code:20896-1509
Practice Address - Country:US
Practice Address - Phone:301-496-2048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD5023207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine