Provider Demographics
NPI:1861615932
Name:PIROMALLI, CHRISTOPHER SCOTT (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SCOTT
Last Name:PIROMALLI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO MSC10 5550
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4868
Mailing Address - Fax:505-272-9134
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO # 105550
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-4615
Practice Address - Country:US
Practice Address - Phone:505-272-4868
Practice Address - Fax:505-272-9134
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK6801207Q00000X, 207RH0002X
NMR312015207Q00000X, 207RH0002X
NMDO2022-0079207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM93520533Medicaid
AK1018920Medicaid
NM93520533Medicaid
NM8HM226Medicare PIN