Individual
UDAY KUMAR CHALWADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
335929
LA
2080P0214X
Pediatric Pulmonology Physician
Primary
335929
LA
Other
Enumeration date
11/28/2017
Last updated
06/02/2023
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