Healthcare Provider Details

I. General information

NPI: 1548282221
Provider Name (Legal Business Name): DAVID M HARMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 06/29/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 GRAVES MILL RD
FOREST VA
24551-3967
US

IV. Provider business mailing address

PO BOX 45923
BALTIMORE MD
21297-5923
US

V. Phone/Fax

Practice location:
  • Phone: 434-385-5600
  • Fax: 434-385-1414
Mailing address:
  • Phone: 877-969-0392
  • Fax: 434-455-7172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0101042108
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0101042108
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: