Provider Demographics
NPI:1902953888
Name:PARIS, CHRISTOPHER LOUIS (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LOUIS
Last Name:PARIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4176
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70361-4176
Mailing Address - Country:US
Mailing Address - Phone:985-887-6030
Mailing Address - Fax:985-872-0317
Practice Address - Street 1:1057 PAUL MAILLARD RD
Practice Address - Street 2:D1900
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-4349
Practice Address - Country:US
Practice Address - Phone:985-308-1604
Practice Address - Fax:985-308-1604
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.201453207RI0011X, 207RC0000X
MS21110207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS9848532OtherAETNA
MS09979777Medicaid
MS6039137OtherHEALTHSPRING
LA1000931Medicaid
MS8249484OtherCIGNA
LA1000931Medicaid
LA4Q1567061Medicare PIN
LA4Q1566833Medicare PIN