SearchNorth Carolina207RC0200X

Mario Christianto, M.D

NPI 1457611337 · on the registry since 2012 · sole proprietor

Practice

Address
3000 New Bern Ave
Raleigh, NC 27610
Phone
(919) 350-8000
Organisation at this address
Wakemed
Wakemed
Wakemed
Wakemed Op Llc
Wakemed Health & Hospitals
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,059

Registry record

Primary taxonomy
207RC0200X
207RC0200X
Also registered as
207R00000X
207RP1001X
Licence states on file
NJ, NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina