Provider Demographics
NPI:1013955400
Name:KAUFMAN, CHRISTIAN ERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:ERICK
Last Name:KAUFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:C
Other - Middle Name:ERICK
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5929 N MAY AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-3910
Mailing Address - Country:US
Mailing Address - Phone:405-367-5638
Mailing Address - Fax:405-367-8771
Practice Address - Street 1:5929 N MAY AVE STE 204
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3910
Practice Address - Country:US
Practice Address - Phone:405-367-5638
Practice Address - Fax:405-367-8771
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK18421207R00000X
MO115794207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine