Devidoss, Chakkungal P.

Devidoss, Chakkungal P. is an sole proprietor health care provider with primary practice located at 1111 Medical Center Blvd Suite S-555, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Devidoss, Chakkungal P. can be contacted via phone (504) 349-6808.

Contact Information

Primary practice address
1111 Medical Center Blvd Suite S-555 Marrero LA 70072-3151
Phone: (504) 349-6808
Fax: (504) 349-6811
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 03747R Louisiana

Profile Details

NPI number 1104808302
LBN Legal business name Devidoss, Chakkungal P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Nov 10th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104808302 NPPES
Louisiana MEDICAID 1146455

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