Organization
OAKVIEW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS A CHETTA MD (GENERAL PRACTICE RADIOLOGY)
(504) 367-1524
Entity
Organization
Contact information
Practice address
1104 STUMPF BLVD, GRETNA, LA 70053
(504) 367-1524
(504) 367-1524
Mailing address
1104 STUMPF BLVD, GRETNA, LA 70053
(504) 367-1524
(504) 367-1524
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
005931
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1066192
—
LA
01
—
4391461110
BLUE CROSS
LA
Enumeration date
03/06/2008
Last updated
04/20/2008
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