Mamatha Ananth
MD | Pediatric Adolescent Medicine | Female
Mamatha Ananth, MD is a Bogalusa, Louisiana based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mamatha Ananth is
433 Plaza St Ste 1a, Bogalusa, Louisiana - 70427-3729. She can be contacted on phone at
985-730-6970 and fax number 985-730-6398.
Mamatha Ananth is a sole proprietor of her business.
NPI number (Unique professional ID) for Mamatha Ananth is
1467447185 which was assigned by NPPES on 19 Sep, 2005 and it was last updated on 25 Oct, 2019.
Mamatha Ananth license number is
MD11747R for Pediatrics Adolescent Medicine (2080A0000X) in Louisiana.
Mamatha Ananth specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mamatha Ananth basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mamatha Ananth |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mamatha Ananth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 433 Plaza St Ste 1a
Bogalusa, LA, 70427-3729
United States |
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| Phone Number : | 985-730-6970 |
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| Fax Number : | 985-730-6398 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467447185 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Sep, 2005 |
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| Last Updated On : | 25 Oct, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mamatha Ananth are as mentioned. Primary taxonomy code for Mamatha Ananth, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD11747R | LA |
Legacy Identifiers:
Other legacy medical identifiers of Mamatha Ananth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1797103 | MEDICAID | LA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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52579 HIGHWAY 51 S,
INDEPENDENCE, LA, 70443-2231
United States | INDEPENDENCE, LA | 985-878-9421 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 433 Plaza St
Bogalusa, LA, 70427-3729
United States |
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| Phone Number : | 985-730-6970 |
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| Fax Number : | 985-730-6398 |
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Business Location:
Patients can refer following map for directions to
Mamatha Ananth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.