Individual
THARWAT A. GHATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2806 MARK DR, MONROE, LA 71201-5152
(318) 460-5127
(318) 460-1967
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.206802
LA
207RH0003X
Hematology & Oncology Physician
Primary
MD.206802
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126075
—
LA
Enumeration date
07/16/2010
Last updated
04/27/2026
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