Provider Demographics
NPI:1427733591
Name:MEJIA JUAREZ, CHRISTOPHER JOSUE (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOSUE
Last Name:MEJIA JUAREZ
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 1:3188 BELLEVUE AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45219
Mailing Address - Country:US
Mailing Address - Phone:513-558-7043
Mailing Address - Fax:513-584-3892
Practice Address - Street 1:3188 BELLEVUE AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219
Practice Address - Country:US
Practice Address - Phone:513-558-7043
Practice Address - Fax:513-584-3892
Is Sole Proprietor?:No
Enumeration Date:2023-06-16
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program