Provider Demographics
NPI:1265408439
Name:CURRY, JOHN L (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:CURRY
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10712 ROSEHAVEN ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2827
Mailing Address - Country:US
Mailing Address - Phone:703-273-7652
Mailing Address - Fax:
Practice Address - Street 1:6231 LEESBURG PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2102
Practice Address - Country:US
Practice Address - Phone:703-534-5880
Practice Address - Fax:703-533-8616
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-025741207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5655412Medicaid
VA480467087OtherMEDICAL EDUCATION NUMBER
VA480467087OtherMEDICAL EDUCATION NUMBER
VA5655412Medicaid