Provider Demographics
NPI:1295790418
Name:NAJARIAN, CHRISTOPHER B (DO)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:B
Last Name:NAJARIAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MICN006132207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1083071Medicaid
MI1083071Medicaid
MI5633311Medicare ID - Type Unspecified