Healthcare Provider Details

I. General information

NPI: 1205820149
Provider Name (Legal Business Name): CHRISTOPHER HAVENS REED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 11/20/2023
Certification Date: 04/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

4650 TAYLOR RD STE 3A
BETHESDA MD
20889-5638
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4407
  • Fax:
Mailing address:
  • Phone: 301-295-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101052964
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: