Kallu, Swapna Gayathri

Kallu, Swapna Gayathri is an individual health care provider with primary practice located at 2647 S Saint Elizabeth Blvd Ste 219 , Gonzales LA 70737-5020. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kallu, Swapna Gayathri can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
2647 S Saint Elizabeth Blvd Ste 219 Gonzales LA 70737-5020
Fax: (225) 743-2620
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22194 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 206172 Louisiana

Profile Details

NPI number 1063772234
LBN Legal business name Kallu, Swapna Gayathri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated Mar 30th, 2021 - about 4 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 1063772234 NPPES
Louisiana MEDICAID 2333097

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