Guru Prasad Ghanta in Leesville - Specialist
Guru Prasad Ghanta - NPI 1255310199
Guru Prasad Ghanta is a Specialist in Leesville, Louisiana. Guru Prasad Ghanta practices all healthcare services and medical treatments related to Specialist. The NPI Number for Guru Prasad Ghanta is 1255310199. The last update date is 2011-01-13.
Guru Prasad Ghanta's current location address is 1015 W Fertitta Blvd, Leesville, Louisiana. You can contact this provider via phone number 3372394130 and fax number 3372384104. The mailing address for Guru Prasad Ghanta is 1015 W Fertitta Blvd, Leesville, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Guru Prasad Ghanta |
|---|---|
| Address | 1015 W Fertitta Blvd, Leesville, Louisiana |
| Phone Number | 3372394130 |
| Fax Number | 3372384104 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1255310199 |
|---|---|
| Provider Enumeration Date | 2006-01-10 |
| Last Updated Date | 2011-01-13 |
Provider Mailing Address Detail
| Address | 1015 W Fertitta Blvd |
|---|---|
| City | Leesville |
| State | Louisiana (LA) |
| Post Code | 714464646 |
| Phone Number | 3372394130 |
| Fax Number | 3372384104 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 05477R |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1313998 | LA | -- | |
| 05477R | LA | LA. STATE LICENSE | |
| 720946706 | LA | TAX ID # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Guru Prasad Ghanta by the Centers for Medicare & Medicaid Services?
The Guru Prasad Ghanta has been assigned the NPI (National Provider Identifier) 1255310199 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Guru Prasad Ghanta is physically located?
The Guru Prasad Ghanta is situated at the following address: 1015 W Fertitta Blvd, Leesville, LA 714464646.
What is the Guru Prasad Ghanta's specialty and taxonomy code?
The Guru Prasad Ghanta's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When was the Guru Prasad Ghanta's 1255310199 issued?
The Guru Prasad Ghanta's 1255310199 was issued on 2006-01-10.
When was the information regarding Guru Prasad Ghanta, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Guru Prasad Ghanta, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-01-13.