Provider Demographics
NPI:1700814753
Name:JAHRAUS, CHRISTOPHER DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DEAN
Last Name:JAHRAUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8703
Mailing Address - Country:US
Mailing Address - Phone:205-664-4051
Mailing Address - Fax:205-664-5538
Practice Address - Street 1:1024 1ST ST N
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8703
Practice Address - Country:US
Practice Address - Phone:205-664-4051
Practice Address - Fax:205-664-5538
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL263212085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051527973OtherBLUE CROSS
AL051527974OtherBLUE CROSS
AL051530020OtherBLUE CROSS
AL009992215Medicaid
AL144663Medicaid
AL009992205Medicaid
AL009931992Medicaid
AL051530020OtherBLUE CROSS
AL051527973OtherBLUE CROSS
AL009931992Medicaid
102I927105Medicare PIN