Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER ROBERT PROVENZANO, MD
ActiveCHRISTOPHER ROBERT PROVENZANO, MD is a Nephrology healthcare provider located in SHELBY TOWNSHIP, Michigan. NPI 1982876157 is currently active in the NPPES registry. Verify at CMS.
Nephrology · SHELBY TOWNSHIP, MI
Registration Details
- NPI Number
- 1982876157
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 28, 2008 (18.401212255427 yrs)
- Last Updated
- Oct 27, 2015
- Licenses
-
4301082092 (MI)4301082092 (MI)49048 (CO)
Practice Information
- Address
-
45650 SCHOENHERR RDSHELBY TOWNSHIP, MI, 483156033Browse MI providers · Browse ZIP 48315
- Phone
- 5862867800
- Fax
- 5862867804
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- 207RH0005X
- Additional Specialty
- Nephrology
Other Nephrology Providers in SHELBY TOWNSHIP, MI
| Name | Credential | NPI |
|---|---|---|
| NAVKIRANJOT BRAR | MD | 1235351263 |
| SAURABH GANDHI | D.O. | 1093032021 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.