Provider Demographics
NPI:1043055908
Name:MODERIE, CHRISTOPHE XAVIER (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHE
Middle Name:XAVIER
Last Name:MODERIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 WELCH ROAD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304
Mailing Address - Country:US
Mailing Address - Phone:514-623-8348
Mailing Address - Fax:
Practice Address - Street 1:450 BROADWAY, STANFORD SLEEP MEDICINE CENTER
Practice Address - Street 2:PAVILION C
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-724-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program