Individual
MATTHEW PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARDMS
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 705-4475
Mailing address
1776 CONTINENTAL DR UNIT 221, COVINGTON, LA 70433-7280
(985) 705-4475
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
282NR1301X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208398
ARDMS
LA
Enumeration date
05/11/2020
Last updated
05/11/2020
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