Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GURU PRASAD GHANTA, M.D.
Active Sole ProprietorGURU PRASAD GHANTA, M.D. is a Specialist healthcare provider located in LEESVILLE, Louisiana. NPI 1255310199 is currently active in the NPPES registry. Verify at CMS.
Specialist · LEESVILLE, LA
Registration Details
- NPI Number
- 1255310199
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2006 (20.576285903146 yrs)
- Last Updated
- Jan 13, 2011
- License
-
05477R (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1015 W FERTITTA BLVDLEESVILLE, LA, 714464646Browse LA providers · Browse ZIP 71446
- Phone
- 3372394130
- Fax
- 3372384104
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LEESVILLE, LA
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA ALLAINE LORD | M.D. | 1821082553 |
| DR. JOHN DAVID DE LAPP | M.D. | 1346216694 |
| MS. MINERVA RAMIREZ | MD | 1760570667 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.