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NPI Code Detail

MEDICARE: CHRISTOPHER OH M.D.

MEDICARE: CHRISTOPHER OH 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
1207Q00000XFamily Medicine Physician298359NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1298359OTHERNYNY MEDICAL LICENSE

General Provider Information

NPI Number : 1891159257
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER OH M.D.
Provider Business Mailing Address
First Line : 3242 N CALIFORNIA AVE UNIT 1S
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5893
Country : US
Telephone Number : 513-307-9593
Fax Number :
Provider Business Practice Location Address
First Line : 730 BROOK AVE
Second Line :
City : BRONX
State : NY
Zip : 10455-1333
Country : US
Telephone Number : 718-484-1247
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2016
Last Update Date : 11/08/2019

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Directions to “ CHRISTOPHER OH M.D.” Practice Location

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