Individual
KIRAN CHAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 DRIFTWOOD BLVD, KENNER, LA 70065-3574
(504) 443-9500
(504) 443-9522
Mailing address
708 W ESPLANADE AVE, KENNER, LA 70065-2736
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14608R
LA
207R00000X
Internal Medicine Physician
Primary
MD14608R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303541
—
MS
05
—
1460541
—
LA
Enumeration date
09/20/2006
Last updated
01/08/2020
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