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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAMATHA ANANTH, MD

Active

MAMATHA ANANTH, MD is a Adolescent Medicine (Pediatrics) healthcare provider located in BOGALUSA, Louisiana. NPI 1467447185 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · BOGALUSA, LA

Registration Details

NPI Number
1467447185
Provider Type
Individual
Gender
Female
NPI Issued
Sep 19, 2005 (20.930680350113 yrs)
Last Updated
Oct 25, 2019
License
MD11747R (LA)

Practice Information

Address
433 PLAZA ST STE 1A
BOGALUSA, LA, 704273729
Browse LA providers · Browse ZIP 70427
Phone
9857306970
Fax
9857306398
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X

Other Adolescent Medicine (Pediatrics) Providers in BOGALUSA, LA

Name Credential NPI
DR. ANTHONY JUDE PALAZZO M.D. 1063457554
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.