Vandana Mukul Kewalramani

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6647 Issued in LA

Practice address

91 Westbank Expy
Ste 345
Gretna, LA 70053-3615

Phone

(504) 264-5307

Fax

(678) 247-7874

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465862400000",
    "number": "1952751687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NORTHCHASE PKWY SE",
            "address_2": "290",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 WESTBANK EXPY",
            "address_2": "STE 345",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700533615",
            "telephone_number": "504-264-5307",
            "fax_number": "678-247-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEWALRAMANI",
        "first_name": "VANDANA",
        "middle_name": "MUKUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2016-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Kautzman, M.D.
• Ora B. Kelley, LCSW, BACS, CCPO-D
• Taylor Kelly
• Kelly Kennedy, MSW, RSW
• Kennise Reed Jubilee Respite Services
• Zia Rehman Khan, M.D.
• Rebecca Rae Kilcullen, MS, APRN, FNP-C
• Jyraiel King
• KLM Transportation Services LLC
• Steven Allan Kloor, DDS

• General Practice Dentistry in Gretna, LA
• Providers in Gretna, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.