Provider Demographics
NPI:1457408379
Name:HARKINS, DEANNA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:DEANNA
Middle Name:
Last Name:HARKINS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 ALEXANDRIA CT
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-6994
Mailing Address - Country:US
Mailing Address - Phone:410-436-1012
Mailing Address - Fax:410-436-4117
Practice Address - Street 1:5158 BLACK HAWK RD
Practice Address - Street 2:E1570
Practice Address - City:GUNPOWDER
Practice Address - State:MD
Practice Address - Zip Code:21010-5403
Practice Address - Country:US
Practice Address - Phone:410-436-1012
Practice Address - Fax:410-436-4117
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0458182083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine