Search › Louisiana › 207R00000X
Chaitanya Undavalli
NPI 1902427651 · on the registry since 2020
Practice
- Address
- 2900 E Texas St Ste 100
Bossier City, LA 71111 - Phone
- (318) 606-6737
- Fax
- (833) 749-0343
- Organisation at this address
- Centerwell Senior Primary Care (La) Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 11937 Us Highway 271, Tyler, TX
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- LA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana