Basic Information
| Provider Information | |||||||||
| NPI: | 1205032869 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MERRITT | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | KARLSSON | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7625 HAMPSON ST | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701185035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6173143031 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1542 TULANE AVE | ||||||||
| Address2: | SUITE 659 | ||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701122865 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5045682315 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2007 | ||||||||
| LastUpdateDate: | 04/22/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MDR-5243 | HI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207L00000X | 235848 | MA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD.204785 | LA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.