Individual
DR. CHAKKUNGAL P. DEVIDOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 FAIRWAY OAKS DR, NEW ORLEANS, LA 70131-3339
(504) 905-6808
Mailing address
5 FAIRWAY OAKS DR, NEW ORLEANS, LA 70131-3339
(504) 905-6808
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
03747R
LA
207RN0300X
Nephrology Physician
Primary
ME167041
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1146455
—
LA
Enumeration date
11/15/2005
Last updated
02/10/2026
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