Individual
DR. CHERISE A IRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1905 FAIRFIELD AVE, SHREVEPORT, LA 71101-4436
(318) 629-4729
(318) 629-4730
Mailing address
1905 FAIRFIELD AVE, SHREVEPORT, LA 71101-4436
(318) 629-4729
(318) 629-4730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24995
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402562
UNITED HEALTHCARE
LA
05
—
1423301
—
LA
01
—
273431
COVENTRY
LA
01
—
7483495
AETNA
LA
01
—
P00023608
RAILROAD MEDICARE
LA
Enumeration date
09/27/2005
Last updated
11/20/2009
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