Provider Demographics
NPI:1811200850
Name:CHRISTOPHER B. NAJARIAN, D.O., P.C.
Entity type:Organization
Organization Name:CHRISTOPHER B. NAJARIAN, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:TACIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-545-3080
Mailing Address - Street 1:909 E 12 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-2505
Mailing Address - Country:US
Mailing Address - Phone:248-545-3080
Mailing Address - Fax:248-545-5866
Practice Address - Street 1:909 E 12 MILE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-2505
Practice Address - Country:US
Practice Address - Phone:248-545-3080
Practice Address - Fax:248-545-5866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-20
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006132207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1083071Medicaid
MI1083071Medicaid
MI5633311Medicare PIN