Individual
DR. CHAVARAMPLAKIL PAULOSE MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 251-8483
Mailing address
296 STONE RIDGE DR, SUNNYVALE, TX 75182-2635
(504) 251-8483
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
06320R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1342564
—
LA
Enumeration date
12/13/2005
Last updated
12/23/2008
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