Provider Demographics
NPI:1558336594
Name:SUBAIYA, CHITRA LEKHA (MD)
Entity Type:Individual
Prefix:
First Name:CHITRA LEKHA
Middle Name:
Last Name:SUBAIYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEKHA
Other - Middle Name:
Other - Last Name:SUBAIYA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:
Practice Address - Street 1:1514 JEFFERSON HIGHWAY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121
Practice Address - Country:US
Practice Address - Phone:504-842-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD05447R207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02570809Medicaid
LA1321419Medicaid
MS02570809Medicaid
NYB89082Medicare UPIN
LA5K618Medicare PIN