person
Charles D Knight JR., MD
Vascular Surgery Physician in Shreveport, Louisiana
NPI 1912901794

Charles D Knight JR. is a Vascular Surgery Physician based in Shreveport, LA and is specialized in Vascular Surgery. Charles D Knight JR. practices in Shreveport, LA and has the professional credentials of MD. The NPI Number for Charles D Knight JR. is 1912901794 and holds a License No. 06896R (Louisiana).

The current practice location address for Charles D Knight JR. is 1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA and can be reached out via phone at 318-798-4691 and via fax at 318-798-4412. You can also correspond with Charles D Knight JR. through the mailing address at 1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA - 71105-6000 (mailing address contact number: 318-798-4691).

Location: 1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA, 71105-6000
person
Provider Profile Details
NPI Number
1912901794
Provider Name
Charles D Knight JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1455 E Bert Kouns Industrial Loop Ste 202, Shreveport, LA, 71105-6000
Phone Number
318-798-4691
Fax Number
318-798-4412
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1053315846 01 LA GROUP NPI NUMBER
153013101 01 TX TEXAS MEDICAID NUMBER
020021594 01 LA RAILROAD MEDICARE NUMBER
1376426 05 LA
institution
Provider Business Practice Location Address Details
Address
1455 E Bert Kouns Industrial Loop Ste 202
City
State
Zip
71105-5634
Phone Number
318-798-4691
Fax Number
318-798-4412
person
Provider Business Mailing Address Details
Address
1455 E Bert Kouns Industrial Loop Ste 202
City
State
Zip
71105-5634
Phone Number
318-798-4691
Fax Number
318-798-4412
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
06896R (Louisiana)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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