Provider Demographics
NPI:1700950995
Name:GILOTRA, PUSHPA M
Entity Type:Individual
Prefix:DR
First Name:PUSHPA
Middle Name:M
Last Name:GILOTRA
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:PUSHPA
Other - Middle Name:M
Other - Last Name:GILOTRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4720 S I-10 SVC RD
Mailing Address - Street 2:STE 502
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001
Mailing Address - Country:US
Mailing Address - Phone:504-885-6060
Mailing Address - Fax:504-887-2114
Practice Address - Street 1:4720 S I-10 SVC RD
Practice Address - Street 2:STE 502
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001
Practice Address - Country:US
Practice Address - Phone:504-885-6060
Practice Address - Fax:504-887-2114
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD012089207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5882OtherCDS
LA1140635Medicaid
LA1140635Medicaid
5J412Medicare ID - Type Unspecified
B60464Medicare UPIN