Provider Demographics
NPI:1992702633
Name:MAREK, CHRISTOPHER ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALAN
Last Name:MAREK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:230 W MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422-1871
Mailing Address - Country:US
Mailing Address - Phone:859-236-1670
Mailing Address - Fax:859-236-1672
Practice Address - Street 1:230 W MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-1871
Practice Address - Country:US
Practice Address - Phone:859-236-1670
Practice Address - Fax:859-236-1672
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2015-02-06
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Provider Licenses
StateLicense IDTaxonomies
KY34954208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64120819Medicaid
KYH14648Medicare UPIN
KY64120819Medicaid