Provider Demographics
NPI:1750308284
Name:STONE, CHRISTIAN DIAZ (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:DIAZ
Last Name:STONE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8530 W SUNSET RD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2215
Mailing Address - Country:US
Mailing Address - Phone:702-483-4483
Mailing Address - Fax:702-483-4493
Practice Address - Street 1:8530 W SUNSET RD
Practice Address - Street 2:SUITE 230
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2215
Practice Address - Country:US
Practice Address - Phone:702-483-4483
Practice Address - Fax:702-483-4493
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13318207RG0100X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500484-GROUPMedicaid
H35134Medicare UPIN
NV100500484-GROUPMedicaid
NVVWQBHV -GROUPMedicare PIN
100015134Medicare PIN
MO205364805Medicaid
NVVWQBHV -GROUPMedicare PIN