Provider Demographics
NPI:1306284120
Name:NASSEF, CHRISTOPHER ANDREW (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ANDREW
Last Name:NASSEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1031 PHILPOTT DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7460
Mailing Address - Country:US
Mailing Address - Phone:919-440-3077
Mailing Address - Fax:
Practice Address - Street 1:PEDIATRIC EDUCATION OFC
Practice Address - Street 2:DEPT. OFFICE OF PEDIACTRICS, CB# 7593
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-6669
Practice Address - Fax:919-966-7490
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2016-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC191357390200000X
NC2016-00316208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program