Individual
SUMAN LATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1978 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 873-5130
Mailing address
5207 CITRUS BLVD, APT # P 116, RIVER RIDGE, LA 70123-7211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.203099
LA
207RR0500X
Rheumatology Physician
Primary
MD.203099
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1459372
—
LA
Enumeration date
08/06/2007
Last updated
12/14/2016
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