MEDICARE: CHRISTOPHER J VERDI 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	207RH0003X	Hematology & Oncology Physician	20442	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700883071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER J VERDI M.D.

Provider Business Mailing Address
First Line	:	5750 W THUNDERBIRD RD
Second Line	:	C300
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4660
Country	:	US
Telephone Number	:	602-938-2848
Fax Number	:	602-938-4401

Provider Business Practice Location Address
First Line	:	5750 W THUNDERBIRD RD
Second Line	:	C300
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4660
Country	:	US
Telephone Number	:	602-938-2848
Fax Number	:	602-938-4401

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/03/2012

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