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Organization

GHATTAS MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THARWAT GHATTAS M.D. (OWNER)
(318) 207-3206
Entity
Organization

Contact information

Practice address
2812 CARIBBEAN CV, SHREVEPORT, LA 71105-2763
(318) 207-3206
(318) 747-9994
Mailing address
2812 CARIBBEAN CV, SHREVEPORT, LA 71105-2763
(318) 207-3206
(318) 747-9994

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
206802
LA

Other

Enumeration date
02/16/2015
Last updated
03/03/2015
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