Provider Demographics
NPI:1699708669
Name:ZAJAC, CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:ZAJAC
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 1:1829 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6320
Mailing Address - Country:US
Mailing Address - Phone:410-602-9850
Mailing Address - Fax:
Practice Address - Street 1:9649 BELAIR RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21236-1100
Practice Address - Country:US
Practice Address - Phone:410-256-9340
Practice Address - Fax:410-529-9465
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0034249207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
01125OtherJOHNS HOPKINS HEALTHCARE
5920093OtherAETNA PPO
700258OtherNCPPO
9990OtherKAISER
52175502OtherCAREFIRST MARYLAND
110744OtherCOVENTRY
1974448OtherUNITED HEALTHCARE
2329081OtherAETNA HMO
281964OtherMAMSI
MD531591300Medicaid
0034OtherCAREFIRST DC
MD93480Medicaid
MD0403483Medicaid
1380505003OtherCIGNA
BR87Medicare ID - Type Unspecified
MD531591300Medicaid
110188472Medicare ID - Type UnspecifiedMEDICARE RAILROAD