Individual
DR. KASHINATH GANGADHARA YADALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LAKESHORE DR, SUITE 1695, LAKE CHARLES, LA 70629-0100
(337) 564-6405
(337) 656-2563
Mailing address
3712 COBBLESTONE DR, LAKE CHARLES, LA 70605-2571
(337) 474-5863
(337) 656-2564
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
08664R
LA
Other
Enumeration date
07/05/2005
Last updated
04/01/2016
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