Provider Demographics
NPI:1114956034
Name:SENKOWSKI, CHRISTOPHER K (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:K
Last Name:SENKOWSKI
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 198054
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8054
Mailing Address - Country:US
Mailing Address - Phone:305-271-9777
Mailing Address - Fax:
Practice Address - Street 1:8950 N KENDALL DR STE 601W
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2139
Practice Address - Country:US
Practice Address - Phone:305-271-9777
Practice Address - Fax:786-533-9450
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71279208600000X, 208600000X
GA044999208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP01113781OtherRAILROAD MEDICARE
GA000781096GMedicaid
SCP01148287OtherRAILROAD MEDICARE
01366126OtherAMERIGROUP
SCG44999Medicaid
SCP00679509OtherRAILROAD MEDICARE
SCP01148287OtherRAILROAD MEDICARE
SCG44999Medicaid
G10699Medicare UPIN