Provider Demographics
NPI:1528104270
Name:TEHLIRIAN, CHRISTOPHER VUJIC (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:VUJIC
Last Name:TEHLIRIAN
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 1:91 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1904
Mailing Address - Country:US
Mailing Address - Phone:617-583-3098
Mailing Address - Fax:
Practice Address - Street 1:5701 EAGLEBEND DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-5205
Practice Address - Country:US
Practice Address - Phone:972-437-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256683207RR0500X
TXM6418207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00JH18OtherMEDICARE GROUP PIN NUMBER
TX280557401Medicaid
TX280557402Medicaid
TXCP7207OtherMEDICARE RAILROAD
TXTXB127116Medicare PIN
TX00JH18OtherMEDICARE GROUP PIN NUMBER
TX8J9019Medicare PIN
TXTXB142087Medicare PIN