Provider Demographics
NPI:1023247160
Name:BURRIS, CHRISTOPHER KEITH (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:KEITH
Last Name:BURRIS
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 1:810 POTOMAC AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-3600
Mailing Address - Country:US
Mailing Address - Phone:202-878-6588
Mailing Address - Fax:202-878-6564
Practice Address - Street 1:810 POTOMAC AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3600
Practice Address - Country:US
Practice Address - Phone:202-878-6588
Practice Address - Fax:202-878-6564
Is Sole Proprietor?:No
Enumeration Date:2009-07-10
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24560207ZN0500X
DCD0083958207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207ZN0500XAllopathic & Osteopathic PhysiciansPathologyNeuropathology