Individual
PRAKASH BAHADUR CHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
309 JACKSON STREET, MONROE, LA 71201
(318) 966-4541
(318) 966-4543
Mailing address
107 ASHFORD DRIVE, APT. 1022, WEST MONROE, LA 71291
(929) 401-6455
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
328686
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061260
CDS
LA
01
—
328686
STATE LICENSE
LA
Enumeration date
05/04/2018
Last updated
03/07/2023
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