Provider Demographics
NPI:1639233497
Name:HARRELL, TRAVIS EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:EDWARD
Last Name:HARRELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0004
Mailing Address - Country:US
Mailing Address - Phone:301-295-4500
Mailing Address - Fax:301-295-6616
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:INTERNAL MEDICINE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0004
Practice Address - Country:US
Practice Address - Phone:301-400-2836
Practice Address - Fax:301-295-4729
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01065124A207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine