IndividualActive
Chemmale Jayakrishnan
NPI 1376635607 · Specialist · Luling, LA
Provider details
- NPI number
- 1376635607
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 04201R (LA)
Specialties & taxonomies
Other Service Providers
Practice location
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone: (985) 785-2045
Fax: (504) 575-3691
Approximate (ZIP-level) locationGet directions
Mailing address
843 Milling Ave
Luling, LA 70070-4442
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2016-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.