Individual
SUJATHA GUBBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
647 BIENVILLE CIR, NATCHITOCHES, LA 71457
(318) 238-5990
(318) 238-5993
Mailing address
PO BOX 7111, NATCHITOCHES, LA 71457-0111
(318) 238-5990
(318) 238-5993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310047
LA
Other
Enumeration date
04/09/2015
Last updated
08/16/2018
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