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NPI Code Detail

MEDICARE: KIRAN CHAVA M.D.

MEDICARE:   KIRAN  CHAVA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician14608RLA
2207R00000XInternal Medicine PhysicianMD14608RLA

Other Identifiers

General Provider Information

NPI Number : 1629176771
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRAN CHAVA M.D.
Provider Business Mailing Address
First Line : 708 W ESPLANADE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-2736
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 2120 DRIFTWOOD BLVD
Second Line :
City : KENNER
State : LA
Zip : 70065-3574
Country : US
Telephone Number : 504-443-9500
Fax Number : 504-443-9522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 01/08/2020

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Directions to “ KIRAN CHAVA M.D.” Practice Location

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