Individual
PAVAN CHAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1514 JEFFERSON HWY, BH 634, NEW ORLEANS, LA 70121-2429
(504) 842-3260
(504) 842-3193
Mailing address
1514 JEFFERSON HWY, BH 634, NEW ORLEANS, LA 70121-2429
(504) 842-3260
(504) 842-3193
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO.000048
LA
390200000X
Student in an Organized Health Care Education/Training Program
000048
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08122350
—
MS
05
—
1067105
—
LA
Enumeration date
07/26/2007
Last updated
09/29/2009
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