MEDICARE: DR. LOUIS CHRISTOPHER TRIPOLI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	109666	MO
2	207R00000X	Internal Medicine Physician	17069	NV
3	207R00000X	Internal Medicine Physician	G87070	CA

General Provider Information

NPI Number	:	1013919083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS CHRISTOPHER TRIPOLI M.D.

Provider Business Mailing Address
First Line	:	338 BRABANT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4269
Country	:	US
Telephone Number	:	314-607-1565
Fax Number	:	314-405-9629

Provider Business Practice Location Address
First Line	:	338 BRABANT AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89183-4269
Country	:	US
Telephone Number	:	314-607-1565
Fax Number	:	314-405-9629

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	11/23/2025

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