Organization
Z CHRIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA HARRIS (PRACTICE MANAGER)
(202) 728-9638
Entity
Organization
Contact information
Practice address
1140 19TH ST NW STE 500, WASHINGTON, DC 20036-6617
(202) 728-9638
Mailing address
1140 19TH ST NW STE 500, WASHINGTON, DC 20036-6617
(202) 728-9638
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18976
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH690001
BLUE CROSS BLUE SHIELD
DC
Enumeration date
04/14/2008
Last updated
04/14/2008
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