Organization
PARAMOUNT MEDICAL SERVICES OF LOUISIANA, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER T MALLAVARAPU M.D. (MANAGING PARTNER)
(914) 494-3803
Entity
Organization
Contact information
Practice address
4242 HIGHWAY 19, SUITE A, ZACHARY, LA 70791-3910
(914) 494-3803
Mailing address
339 WORTH AVE, LAFAYETTE, LA 70508-6636
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD013361
LA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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