Provider Demographics
NPI:1013979012
Name:SOLOMON, HARRISON (MD)
Entity type:Individual
Prefix:
First Name:HARRISON
Middle Name:
Last Name:SOLOMON
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 1:8401 CONNECTICUT AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5803
Mailing Address - Country:US
Mailing Address - Phone:301-949-8100
Mailing Address - Fax:301-962-7450
Practice Address - Street 1:8401 CONNECTICUT AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5803
Practice Address - Country:US
Practice Address - Phone:301-949-8100
Practice Address - Fax:301-962-7450
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0059777207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD001978000Medicaid
MD0901478OtherEVERCARE
MD484431900Medicaid
MD2362410OtherUNITED HEALTH CARE
MD693542OtherNCPPO
MD5866127OtherCIGNA OPEN ACCESS /PPO
MD0901478OtherEVERCARE
MD484431900Medicaid