Individual
DR. VASANTH K NALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4630 AMBASSADOR CAFFERY PKWY STE 308, LAFAYETTE, LA 70508-6950
(337) 470-3860
(337) 470-3858
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04740R
LA
2080A0000X
Pediatric Adolescent Medicine Physician
04740R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1198412
—
LA
Enumeration date
04/12/2006
Last updated
11/18/2024
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