Provider Demographics
NPI:1679566160
Name:OKEN, HARRY A (MD)
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:A
Last Name:OKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10700 CHARTER DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3629
Mailing Address - Country:US
Mailing Address - Phone:410-910-7500
Mailing Address - Fax:410-910-2310
Practice Address - Street 1:10700 CHARTER DR
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3629
Practice Address - Country:US
Practice Address - Phone:410-910-7500
Practice Address - Fax:410-910-2310
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2011-01-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0031172207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD476021200Medicaid
DCB6100002OtherBCBS OF DC
MD35121802OtherBCBS OF MARYLAND
DCB6100002OtherBCBS OF DC
MD476021200Medicaid