Provider Demographics
NPI:1215923743
Name:CHUIRAZZI, CHRISTOPHER CARL (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:CARL
Last Name:CHUIRAZZI
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 1:9375 E MARKET ST
Mailing Address - Street 2:STE 1
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5515
Mailing Address - Country:US
Mailing Address - Phone:330-609-5089
Mailing Address - Fax:330-609-6634
Practice Address - Street 1:9375 E MARKET ST
Practice Address - Street 2:STE 1
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5515
Practice Address - Country:US
Practice Address - Phone:330-609-5089
Practice Address - Fax:330-609-6634
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2008-04-28
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
OH35067145207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHG20104Medicare UPIN
OH4231431Medicare PIN