Guru Prasad Ghanta, M.D.

NPI #1255310199 in Leesville, Louisiana

Provider Information

NPI Number: 1255310199
Entity Type: Individual
Name: Guru Prasad Ghanta, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Jan 10, 2006
Last Updated: Jan 13, 2011

Practice Location

Address: 1015 W FERTITTA BLVD
City: Leesville
State: Louisiana
ZIP Code: 71446-4646
Phone: (337) 239-4130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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