Individual
DR. ANITA KANAGALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
130 LAKEVIEW CIR, COVINGTON, LA 70433-7512
(985) 892-6858
(985) 892-6965
Mailing address
130 LAKEVIEW CIR, COVINGTON, LA 70433-7512
(985) 892-6858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47113
WI
207Q00000X
Family Medicine Physician
Primary
MD.202626
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1805742
—
LA
Enumeration date
11/02/2005
Last updated
02/13/2023
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