Provider Demographics
NPI:1548240021
Name:MICHEL, CHRISTOPHER S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:S
Last Name:MICHEL
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 1:2020 MILVIA ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2685
Mailing Address - Country:US
Mailing Address - Phone:510-843-2220
Mailing Address - Fax:510-809-1779
Practice Address - Street 1:2020 MILVIA ST
Practice Address - Street 2:SUITE 300
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2685
Practice Address - Country:US
Practice Address - Phone:510-843-2220
Practice Address - Fax:510-809-1779
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2016-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG277122084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G277120Medicaid
A43462Medicare UPIN
CA00G277120Medicare PIN