Healthcare Provider Details

I. General information

NPI: 1982830063
Provider Name (Legal Business Name): CHRISTOPHER JOSEPH BECK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2009
Last Update Date: 11/19/2023
Certification Date: 11/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 FOUCHER ST
NEW ORLEANS LA
70115-3515
US

IV. Provider business mailing address

PO BOX 1089
COVINGTON LA
70434-1089
US

V. Phone/Fax

Practice location:
  • Phone: 504-897-7011
  • Fax:
Mailing address:
  • Phone: 985-445-3644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD041980
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number49074
License Number StateTN
# 3
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberMD207720
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: