Katikaneni, Mamatha

Katikaneni, Mamatha is an individual health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Katikaneni, Mamatha can be contacted via phone (318) 813-2528.

Contact Information

Primary practice address
1541 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 813-2528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.206221 Louisiana
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD.206221 Louisiana

Profile Details

NPI number 1902110109
LBN Legal business name Katikaneni, Mamatha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2010
Last updated Jul 8th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902110109 NPPES
Louisiana MEDICAID 2127578

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