Individual
DR. JAMES CHRISTIAN ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01063815A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11947518
CAQH
IN
05
—
200932440
—
IN
Enumeration date
06/10/2008
Last updated
11/29/2022
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