Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chaitanya Undavalli

Individual provider Internal Medicine Physician · NPI 1902427651

Chaitanya Undavalli is an Internal Medicine in Bossier City, Louisiana. Qualified in 2024, 2 years ago. Practices with Centerwell Senior Primary Care La PC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Texas.

Years since qualifying
2
Licensed in
LA, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2900 E Texas St Ste 100
Bossier City, LA 71111-3275
Phone: (318) 606-6737
Fax: (833) 749-0343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11937 Us Highway 271, Tyler, TX 75708-3154 — (903) 877-7253

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 343550 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence BP20085227 (TX)

Record details

NPI number1902427651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 5, 2020
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Centerwell Senior Primary Care La Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bossier City