Basic Information
| Provider Information | |||||||||
| NPI: | 1093855132 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KSHETARPAL | ||||||||
| FirstName: | AMIT | ||||||||
| MiddleName: | KUMAR | ||||||||
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| Credential: | M.D., | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2117 VETERANS MEMORIAL BLVD | ||||||||
| Address2: | 248 | ||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700026321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2817498230 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2117 VETERANS MEMORIAL BLVD | ||||||||
| Address2: | STE 248 | ||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700026321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7278343959 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2007 | ||||||||
| LastUpdateDate: | 06/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0804X | 14829 | LA | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Child & Adolescent Psychiatry | 2084P0800X | 14829 | LA | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.