Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962031237

Christopher DO is an Internal Medicine in Las Vegas, Nevada. Graduated from Nova Southeastern College of Osteo Medicine in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
6
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
NV
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

620 Shadow Ln
Las Vegas, NV 89106-4194
Phone: (702) 477-6572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence DO3278 (NV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962031237
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2020 (6 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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