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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1952303240 NPPES
Louisiana MEDICAID 1160164
Louisiana Other 4F344

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