Provider Demographics
NPI:1790986255
Name:PARISH INTERNAL MEDICINE ASSOCIATES LLC
Entity Type:Organization
Organization Name:PARISH INTERNAL MEDICINE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-764-3051
Mailing Address - Street 1:PO BOX 735
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-0735
Mailing Address - Country:US
Mailing Address - Phone:985-764-3051
Mailing Address - Fax:985-764-3053
Practice Address - Street 1:105 PLANTATION RD
Practice Address - Street 2:SUITE 120
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-3049
Practice Address - Country:US
Practice Address - Phone:985-764-3051
Practice Address - Fax:985-764-3053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA14608R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1629176771OtherDR. KIRAN CHAVA NPI
LA1043318090OtherDR. SUJATA CHAVA NPI
LAH76957Medicare UPIN
LA5CK01Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
LAI15398Medicare UPIN