MEDICARE: CHRISTOPHER ANDEW MERRILL 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
1	207R00000X	Internal Medicine Physician	332580	LA

General Provider Information

NPI Number	:	1508363029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER ANDEW MERRILL MD

Provider Business Mailing Address
First Line	:	1542 TULANE AVE FL 4
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-2865
Country	:	US
Telephone Number	:	504-962-6110
Fax Number	:

Provider Business Practice Location Address
First Line	:	2003 TULANE AVENUE
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70112-7011
Country	:	US
Telephone Number	:	504-962-6110
Fax Number	:	504-962-6111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	03/02/2023

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