Healthcare Provider Details

I. General information

NPI: 1043505290
Provider Name (Legal Business Name): JAMES ALLEN CHRISTIAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 SECURITY BLVD
BALTIMORE MD
21235-0001
US

IV. Provider business mailing address

1715 NORDIC HILL CIR
SILVER SPRING MD
20906-5950
US

V. Phone/Fax

Practice location:
  • Phone: 410-966-8273
  • Fax: 410-597-0455
Mailing address:
  • Phone: 301-367-4985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD34977
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberD34977
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: