Provider Demographics
NPI:1407893894
Name:INGUI, CHRISTIAN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:JOSEPH
Last Name:INGUI
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 93864
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-3864
Mailing Address - Country:US
Mailing Address - Phone:804-999-1091
Mailing Address - Fax:026-812-4985
Practice Address - Street 1:10700 MCPHERSON RD
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045
Practice Address - Country:US
Practice Address - Phone:480-999-1091
Practice Address - Fax:602-812-4985
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ347852085R0202X
NY2667522085R0202X
FLME1351372085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ111141Medicare UPIN
AZZ111681Medicare PIN
AZZI57224Medicare PIN
AZZ113893Medicare PIN
AZZ107628Medicare PIN
AZP00415785Medicare PIN
AZZ121418Medicare PIN
AZZ113089Medicare PIN
AZZ121150Medicare PIN
AZZ113894Medicare PIN
AZZ117517Medicare PIN