Healthcare Provider Details

I. General information

NPI: 1396820189
Provider Name (Legal Business Name): CHRISTOPHER R PERKINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6121 N THESTA STE 204
FRESNO CA
93710
US

IV. Provider business mailing address

6121 N THESTA ST 204
FRESNO CA
93710-8603
US

V. Phone/Fax

Practice location:
  • Phone: 559-438-7390
  • Fax: 559-438-7166
Mailing address:
  • Phone: 559-438-7390
  • Fax: 559-438-7166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberA41513
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: