Provider Demographics
NPI:1023155827
Name:KLEBANOFF, CHRISTOPHER AUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:AUSTIN
Last Name:KLEBANOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 CENTER DR
Mailing Address - Street 2:BUILDING 10, CRC-3W-5816
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-1037
Mailing Address - Country:US
Mailing Address - Phone:301-496-5659
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:BUILDING 10, CRC-3W-5816
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-1037
Practice Address - Country:US
Practice Address - Phone:301-496-5659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2016-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD67993207RX0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine