Healthcare Provider Details

I. General information

NPI: 1265465017
Provider Name (Legal Business Name): KARL A DUNCAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 OAK PARK BLVD FL 2
LAKE CHARLES LA
70601-8990
US

IV. Provider business mailing address

PO BOX 122152 DEPT 2152
DALLAS TX
75312-0001
US

V. Phone/Fax

Practice location:
  • Phone: 337-494-3278
  • Fax: 337-494-3240
Mailing address:
  • Phone: 337-494-2921
  • Fax: 337-494-6523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number58167
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number326121
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number27186
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number58167
License Number StateGA
# 5
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number45842
License Number StateTN
# 6
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD.204124
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: