Provider Demographics
NPI:1851459556
Name:CURRY, CHARLES M (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:M
Last Name:CURRY
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 1:5305 N FRESNO ST
Mailing Address - Street 2:105A
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6845
Mailing Address - Country:US
Mailing Address - Phone:559-221-3131
Mailing Address - Fax:559-221-3132
Practice Address - Street 1:5305 N FRESNO ST
Practice Address - Street 2:105A
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6845
Practice Address - Country:US
Practice Address - Phone:559-221-3131
Practice Address - Fax:559-221-3132
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA0483050207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A483050Medicaid
CA00A483050Medicaid
CAE42079Medicare UPIN