Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D67993 | MD |
N | 111NI0900X | Internist | D67993 | MD |
Y | 207RX0202X | Medical Oncology | D67993 | MD |
NPI | 1023155827 |
---|---|
Provider Name | Dr. Christopher Austin Klebanoff |
First Address | Bethesda, MD 20892-1037 |
Second Address | Bethesda, MD 20892-1037 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 25/07/2016 |