Healthcare Provider Details

I. General information

NPI: 1093876427
Provider Name (Legal Business Name): CHRISTOPHER B SOLTIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 2 WRAMC ROOM 1J69 6900 GEORGIA AVE. NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

BLDG 2 WRAMC ROOM 1J69 6900 GEORGIA AVE. NW
WASHINGTON DC
20307-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-6848
  • Fax:
Mailing address:
  • Phone: 202-782-6848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number11475
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: