Provider Demographics
NPI:1730117656
Name:CHOI, CHRISTOPHER S (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:S
Last Name:CHOI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4035 S EL CAPITAN WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-3430
Mailing Address - Country:US
Mailing Address - Phone:702-463-8080
Mailing Address - Fax:
Practice Address - Street 1:10105 BANBURRY CROSS DRIVE
Practice Address - Street 2:SUITE 130
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89144-0514
Practice Address - Country:US
Practice Address - Phone:702-463-8080
Practice Address - Fax:702-982-8889
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2019-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV9589207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018749Medicaid
NV110217825OtherRAILROAD MEDICARE
NVCC0481OtherBLUE CROSS BLUE SHIELD
NV34258Medicare PIN
NV110217825OtherRAILROAD MEDICARE