Provider Demographics
NPI:1437387768
Name:BEHALAL-BOCK, CHRISTELE (MD)
Entity type:Individual
Prefix:MS
First Name:CHRISTELE
Middle Name:
Last Name:BEHALAL-BOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6239 MCCONNELL LN
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1527
Mailing Address - Country:US
Mailing Address - Phone:919-448-7835
Mailing Address - Fax:
Practice Address - Street 1:6239 MCCONNELL LN
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1527
Practice Address - Country:US
Practice Address - Phone:919-448-7835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036172970207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology