Gautam, Chakshu
Gautam, Chakshu is an individual health care provider with primary practice located at 3149 Ambassador Caffery Pkwy , Lafayette LA 70506-7209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gautam, Chakshu can be contacted via phone (337) 288-5961.Contact Information
Primary practice address
3149 Ambassador Caffery Pkwy
Lafayette LA 70506-7209
Phone: (337) 288-5961
Fax: (337) 706-3415
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15033R | Louisiana |
Profile Details
NPI number | 1952303240 |
---|---|
LBN Legal business name | Gautam, Chakshu |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 1st, 2005 |
Last updated | Oct 23rd, 2023 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952303240 | NPPES |
Louisiana | MEDICAID | 1160164 | |
Louisiana | Other | 4F344 |
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