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NPI Code Detail

MEDICARE: DR. CHANDRA M KATTA M.D.

MEDICARE:  DR. CHANDRA M KATTA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TP0016XPrescribing (Medical) Psychologist
22084A0401XAddiction Medicine (Psychiatry & Neurology) Physician08484RLA

General Provider Information

NPI Number : 1831131499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHANDRA M KATTA M.D.
Provider Business Mailing Address
First Line : 5718 FIR LANE
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-8122
Country : US
Telephone Number : 337-478-8555
Fax Number :
Provider Business Practice Location Address
First Line : 7414 SUMRALL DR
Second Line : SUITE C
City : BATON ROUGE
State : LA
Zip : 70812-1240
Country : US
Telephone Number : 225-448-2937
Fax Number : 225-246-8936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 09/15/2016

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