# WESTBANK RENAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528255189
- **Authorized official:** DR. CHAKKUNGAL P. DEVIDOSS M.D (OWNER)
- **Authorized official phone:** (504) 349-6808

## Contact information

- **Practice address:** 1111 MEDICAL CENTER BLVD, SUITE N 304, MARRERO, LA 70072-3151
- **Practice address phone:** (504) 349-6808
- **Practice address fax:** (504) 349-6811
- **Mailing address:** 1111 MEDICAL CENTER BLVD, SUITE N 304, MARRERO, LA 70072-3151
- **Mailing address phone:** (504) 349-6808
- **Mailing address fax:** (504) 349-6811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 03747R | LA | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 01/27/2009