Cherise A Irby, Md in Shreveport - Specialist

Cherise A Irby, Md - NPI 1619157054

Cherise A Irby, Md is a Specialist in Shreveport, Louisiana. Cherise A Irby, Md practices all healthcare services and medical treatments related to Specialist. The NPI Number for Cherise A Irby, Md is 1619157054. The last update date is 2007-11-13.

Cherise A Irby, Md's current location address is 1801 Fairfield Ave, Shreveport, Louisiana. You can contact this provider via phone number 3186294729 and fax number 3186294730. The mailing address for Cherise A Irby, Md is 1801 Fairfield Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cherise A Irby, Md
Address 1801 Fairfield Ave, Shreveport, Louisiana
Phone Number 3186294729
Fax Number 3186294730
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Irby A Cherise
Credentials M.D.
Telephone Number 3186294729

NPI Number Detail

NPI Number 1619157054
Provider Enumeration Date 2007-11-13
Last Updated Date 2007-11-13

Provider Mailing Address Detail

Address 1801 Fairfield Ave
City Shreveport
State Louisiana (LA)
Post Code 711014443
Phone Number 3186294729
Fax Number 3186294730

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 24995
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
402562 LA UNITED HEALTHCARE
1423301 LA --
273431 LA COVENTRY
P00023608 LA RAILROAD MEDICARE
7483495 LA AETNA

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FAQs about Cherise A Irby, Md

What is the Cherise A Irby, Md's unique identification number?

The Cherise A Irby, Md has been assigned the NPI (National Provider Identifier) Number 1619157054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Cherise A Irby, Md is physically located?

The Cherise A Irby, Md is physically situated at the following address: 1801 Fairfield Ave, Shreveport, LA, 711014443.

What is Cherise A Irby, Md's specialized field of practice, and what is the corresponding taxonomy classification code?

The Cherise A Irby, Md's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Cherise A Irby, Md receive its 1619157054 assignment from the Centers for Medicare & Medicaid Services?

The Cherise A Irby, Md was assigned its 1619157054 on 2007-11-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Cherise A Irby, Md, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Cherise A Irby, Md, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-13.

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