Undavalli, Chaitanya

Undavalli, Chaitanya is an individual health care provider with primary practice located at 2900 E Texas St Ste 100 , Bossier City LA 71111-3275. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Undavalli, Chaitanya can be contacted via phone (318) 606-6737.

Contact Information

Primary practice address
2900 E Texas St Ste 100 Bossier City LA 71111-3275
Phone: (318) 606-6737
Fax: (833) 749-0343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 343550 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X BP20085227 Texas

Profile Details

NPI number 1902427651
LBN Legal business name Undavalli, Chaitanya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2020
Last updated Apr 14th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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