Healthcare Provider Details

I. General information

NPI: 1649491119
Provider Name (Legal Business Name): NAMIT CHATURVEDI LCOTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8128 FLORIDA BLVD
DENHAM SPRINGS LA
70726-7865
US

IV. Provider business mailing address

403 AUNDRIA DR
LAFAYETTE LA
70503-4717
US

V. Phone/Fax

Practice location:
  • Phone: 225-791-8666
  • Fax: 225-791-2891
Mailing address:
  • Phone: 337-255-6894
  • Fax: 337-991-9282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberZ20315
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: