DR. CHEMMALE JAYAKRISHNAN NPI 1376635607

NPI Information

  • NPI: 1376635607
  • Provider Name: DR. CHEMMALE JAYAKRISHNAN
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1057 PAUL MAILLARD RD
    LULING, LA
    ZIP 70070
  • Phone: (985) 785-2045

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NPI Details

DR. Chemmale Jayakrishnan is a specialist in Luling, LA with 51 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Chemmale Jayakrishnan NPI is 1376635607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduation Year:1974

The provider's business location address is:

1057 PAUL MAILLARD RD
LULING, LA
ZIP 70070-349
Phone: (985) 785-2045
Fax: (504) 575-3691

The NPI 1376635607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 6/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist04201RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11182290MEDICAIDLOUISIANA
2191834MEDICARE OSCAR/CERTIFICATIONLOUISIANA
3B89019MEDICARE UPINLOUISIANA
45K042B724MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
51444642MEDICAIDLOUISIANA
65CD42MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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