# OAKVIEW MEDICAL CENTER

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

## Provider details

- **NPI number:** 1598935553
- **Authorized official:** DR. NICHOLAS A CHETTA MD (GENERAL PRACTICE RADIOLOGY)
- **Authorized official phone:** (504) 367-1524

## Contact information

- **Practice address:** 1104 STUMPF BLVD, GRETNA, LA 70053
- **Practice address phone:** (504) 367-1524
- **Practice address fax:** (504) 367-1524
- **Mailing address:** 1104 STUMPF BLVD, GRETNA, LA 70053
- **Mailing address phone:** (504) 367-1524
- **Mailing address fax:** (504) 367-1524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 005931 | LA | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1066192 | — | LA |
| 01 | — | 4391461110 | BLUE CROSS | LA |