Provider Demographics
NPI:1548421142
Name:CUTCHIS, PROTAGORAS NICHOLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:PROTAGORAS
Middle Name:NICHOLAS
Last Name:CUTCHIS
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 1:6842 SANTA MARIA AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-9516
Mailing Address - Country:US
Mailing Address - Phone:301-854-0329
Mailing Address - Fax:
Practice Address - Street 1:11100 JOHNS HOPKINS RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-6005
Practice Address - Country:US
Practice Address - Phone:240-228-8614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0031174208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery