Healthcare Provider Details
I. General information
NPI: 1023278017
Provider Name (Legal Business Name): CHRISTIAN PELTE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/12/2008
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8600 OLD GEORGETOWN RD
BETHESDA MD
20814-1422
US
IV. Provider business mailing address
11503 WOODSTOCK WAY
RESTON VA
20194-1622
US
V. Phone/Fax
- Phone: 301-896-3990
- Fax: 301-896-7330
- Phone: 317-797-8086
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | MD037282 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | D70492 |
| License Number State | MD |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | 0101253148 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: