Provider Demographics
NPI:1104812049
Name:CHIHLAS, CHRISTOPHER NICHOLAS (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:NICHOLAS
Last Name:CHIHLAS
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 1:200 CROSSINGS BLVD STE 310
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2872
Mailing Address - Country:US
Mailing Address - Phone:401-777-7000
Mailing Address - Fax:
Practice Address - Street 1:200 CROSSINGS BLVD STE 310
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2872
Practice Address - Country:US
Practice Address - Phone:401-777-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA261934207X00000X
RIMD09498207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110103292AMedicaid
MA110103292AMedicaid
MAS400238637Medicare PIN
RI32165-7OtherRI BLUE CROSS
RI1104812049OtherDURABLE
G52278Medicare UPIN