Individual
DR. CHEMMALE JAYAKRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1057 PAUL MAILLARD RD, LULING, LA 70070-4349
(985) 785-2045
(504) 575-3691
Mailing address
843 MILLING AVE, LULING, LA 70070-4442
(985) 785-5800
(985) 785-5811
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04201R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1182290
—
LA
05
—
1444642
—
LA
Enumeration date
09/28/2006
Last updated
06/22/2016
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