MEDICARE: MR. CHRISTOPHER DURHAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	43848D5	MD

General Provider Information

NPI Number	:	1720893720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER DURHAM

Provider Business Mailing Address
First Line	:	8106 BIRDSONG DR
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-1261
Country	:	US
Telephone Number	:	240-603-1713
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 SUMNER RD SE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5953
Country	:	US
Telephone Number	:	202-489-3336
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2025
Last Update Date	:	02/08/2025

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Directions to “ MR. CHRISTOPHER DURHAM ” Practice Location

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