Provider Demographics
NPI:1760974992
Name:DENIS R HARRIS , MD, PA
Entity Type:Organization
Organization Name:DENIS R HARRIS , MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-362-4787
Mailing Address - Street 1:3301 NEW MEXICO AVE NW STE 346
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3623
Mailing Address - Country:US
Mailing Address - Phone:202-362-4787
Mailing Address - Fax:202-595-7820
Practice Address - Street 1:3301 NEW MEXICO AVE NW STE 346
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-3623
Practice Address - Country:US
Practice Address - Phone:202-362-4787
Practice Address - Fax:202-595-7820
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENIS R HARRIS , MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD6466207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty