Provider Demographics
NPI:1013000173
Name:RAYALA, CHRISTOPHER ZAGUIRRE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ZAGUIRRE
Last Name:RAYALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 602195
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-2195
Mailing Address - Country:US
Mailing Address - Phone:919-350-8000
Mailing Address - Fax:
Practice Address - Street 1:150 E DAVIE ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-1806
Practice Address - Country:US
Practice Address - Phone:919-834-5299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN40216207Q00000X
NC2010-00191207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013000173OtherNPI
NC2010-00191OtherNC LICENSE
TN3335742Medicaid
TN4151006OtherBLUE CROSS
TN3335742Medicaid
TN3335742Medicare PIN
NC2076299AMedicare PIN