Individual
KEVIN JUSTO CHAMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N LEWIS ST, NEW IBERIA, LA 70563-2043
(800) 893-9698
Mailing address
PO BOX 660519, ARCADIA, CA 91066-0519
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200526
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G585410
—
CA
05
—
1722383
—
LA
Enumeration date
05/01/2006
Last updated
11/21/2012
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