Individual
CHARLES D KNIGHT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2064 SILVER POINT DR, SHREVEPORT, LA 71106-7753
(318) 422-1274
Mailing address
2064 SILVER POINT DR, SHREVEPORT, LA 71106-7753
(318) 422-1274
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
06896R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020021594
RAILROAD MEDICARE NUMBER
LA
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1376426
—
LA
01
—
153013101
TEXAS MEDICAID NUMBER
TX
Enumeration date
06/09/2005
Last updated
11/24/2025
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