Provider Demographics
NPI:1265486138
Name:PAA, CHRISTOPHER J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:PAA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5009
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57117-5009
Mailing Address - Country:US
Mailing Address - Phone:605-977-5000
Mailing Address - Fax:605-977-5377
Practice Address - Street 1:4520 W 69TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8148
Practice Address - Country:US
Practice Address - Phone:605-977-5000
Practice Address - Fax:605-977-5377
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2008-03-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD4868207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN538R4PAOtherMN BLUE SHIELD
SD4868OtherDAKOTACARE
SD6004210Medicaid
IA543157Medicaid
931451029044OtherPREFERRED ONE
IA43421OtherIA BC BS
SD0008096OtherSD BC BS
25-00712OtherSELECTCARE
MN75B61PAOtherBLUE SHIELD MN
MN75B61PAOtherBLUE SHIELD MN
SDS8096Medicare PIN
H43066Medicare UPIN