Provider Demographics
NPI:1457599466
Name:Z CHRIS MD FACP PLLC
Entity Type:Organization
Organization Name:Z CHRIS MD FACP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:Z
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACP PLLC
Authorized Official - Phone:202-728-9630
Mailing Address - Street 1:1140 19TH ST NW
Mailing Address - Street 2:SUITE 500
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-6601
Mailing Address - Country:US
Mailing Address - Phone:202-728-9630
Mailing Address - Fax:
Practice Address - Street 1:1140 19TH ST NW
Practice Address - Street 2:SUITE 500
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6601
Practice Address - Country:US
Practice Address - Phone:202-728-9630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC18976207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E87984Medicare UPIN