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NPI Code Detail

MEDICARE: DR. CHRISTOPHER L INGRAM MD

MEDICARE: DR. CHRISTOPHER L INGRAM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician09449RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366432718
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER L INGRAM MD
Provider Business Mailing Address
First Line : PO BOX 5429
Second Line :
City : SHREVEPORT
State : LA
Zip : 71135-5429
Country : US
Telephone Number : 318-603-8081
Fax Number : 318-603-8085
Provider Business Practice Location Address
First Line : 501 KEYSER AVE
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-6018
Country : US
Telephone Number : 318-214-4550
Fax Number : 318-214-4553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 04/19/2013

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