Individual
ANIL MATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 KEYSER AVE, NATCHITOCHES, LA 71457-6018
(318) 214-4401
(318) 214-4493
Mailing address
PO BOX 2009, NATCHITOCHES, LA 71457-2009
(318) 214-4401
(318) 214-4493
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.201438
LA
208M00000X
Hospitalist Physician
Primary
MD.201438
LA
Other
Enumeration date
06/04/2007
Last updated
11/28/2023
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