Provider Demographics
NPI:1972732600
Name:ELIAS, CHRISTINE NGUYEN (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NGUYEN
Last Name:ELIAS
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2333 MOWRY AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1626
Mailing Address - Country:US
Mailing Address - Phone:510-791-1300
Mailing Address - Fax:510-791-1301
Practice Address - Street 1:2333 MOWRY AVE
Practice Address - Street 2:STE 300
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1626
Practice Address - Country:US
Practice Address - Phone:510-796-0222
Practice Address - Fax:510-796-7760
Is Sole Proprietor?:No
Enumeration Date:2009-07-02
Last Update Date:2018-12-06
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Provider Licenses
StateLicense IDTaxonomies
CAA117365207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA117365OtherCA MEDICAL LICENSE