Provider Demographics
NPI:1477783264
Name:ROWAN, CHRISTOPHER JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JAMES
Last Name:ROWAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 SIERRA ROSE DR STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2076
Mailing Address - Country:US
Mailing Address - Phone:775-636-7100
Mailing Address - Fax:775-636-6724
Practice Address - Street 1:689 SIERRA ROSE DR STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2076
Practice Address - Country:US
Practice Address - Phone:775-636-7100
Practice Address - Fax:775-636-6724
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15846207RC0000X
NMMD2013-0014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA164010Medicare PIN
NVV111342Medicare PIN
NVV111341Medicare PIN
CACA164009Medicare PIN
NVV111343Medicare PIN