Individual
KAMALAKANT GOVIND THALY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
151 MEADOWCREST ST, SUITE F, GRETNA, LA 70056
(504) 392-9298
(504) 392-7047
Mailing address
151 MEADOWCREST ST, SUITE F, GRETNA, LA 70056
(504) 392-9298
(504) 392-7047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
014513
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312606
—
LA
Enumeration date
11/04/2005
Last updated
07/08/2007
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