Ananth, Mamatha
Ananth, Mamatha is an individual health care provider with primary practice located at 433 Plaza St Ste 1A , Bogalusa LA 70427-3729. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ananth, Mamatha can be contacted via phone (985) 730-6970.Contact Information
Primary practice address
433 Plaza St Ste 1A
Bogalusa LA 70427-3729
Phone: (985) 730-6970
Fax: (985) 730-6398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MD11747R | Louisiana |
Profile Details
| NPI number | 1467447185 |
|---|---|
| LBN Legal business name | Ananth, Mamatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Oct 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467447185 | NPPES |
| Louisiana | MEDICAID | 1797103 |
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