Christopher Robert Provenzano, MD
Christopher Robert Provenzano, MD is a Nephrology in Shelby Township, Michigan. Qualified in 2003, 23 years ago. Practices with St Clair Specialty Physicians PC, a 36-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Michigan.
- Years since qualifying
- 23
- Licensed in
- CO, MI
- In the registry since
- 2008
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
45650 Schoenherr RdShelby Township, MI 48315-6033
Phone: (586) 286-7800
Fax: (586) 286-7804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X · Licence 4301082092 (MI) |
|---|---|
| Hypertension Specialist Physician | Taxonomy 207RH0005X · Licence 4301082092 (MI) |
| Nephrology Physician | Taxonomy 207RN0300X · Licence 49048 (CO) |
Record details
| NPI number | 1982876157 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 28, 2008 |
| Last updated in NPPES | October 27, 2015 |
Medicare enrollment
| Medicare specialty | NEPHROLOGY |
|---|---|
| Also practises | INTERNAL MEDICINE |
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | St Clair Specialty Physicians Pc — 36 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Shelby Township
-
Navkiranjot Brar, MD
45640 Schoenherr Rd Ste B, Shelby Township, MI 48315-6033 · (586) 247-4300