Provider Demographics
NPI:1184658668
Name:SHRIVER, CRAIG DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:DAVID
Last Name:SHRIVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9591 KINGS GRANT RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1469
Mailing Address - Country:US
Mailing Address - Phone:202-782-3418
Mailing Address - Fax:202-782-0759
Practice Address - Street 1:8908 JONES BRIDGE ROAD AMERICA BLDG 3RD FLOOR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0003
Practice Address - Country:US
Practice Address - Phone:301-910-1897
Practice Address - Fax:202-782-0759
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2024-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD365162086X0206X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery