NPI 1053548156

Sumatha Ghanta, MD

Practitioner Family Medicine Physician Monroe, LA

Practice location

Address: 920 Oliver Rd, Monroe, LA 71201-5702
Phone: (318) 807-3700
Fax: (318) 807-0014
Mailing address: 130 Desiard St Suite 355, Monroe, LA 71201-7319

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD205575 (LA)

Other Family Medicine providers in Louisiana →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Louisiana →

Registry record

NPI: 1053548156
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2009
Record last updated: 11 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.