Individual provider · Type 1 NPI
Guru Prasad Ghanta, MD
Specialist · Leesville, LA
NPI number
1255310199
Active
Practice location
1015 W Fertitta Blvd
Leesville, LA 71446-4646
Fax (337) 238-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 05477R (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
Other specialist providers in Leesville
About NPI 1255310199
Guru Prasad Ghanta, MD's National Provider Identifier is 1255310199, issued on Jan 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Leesville, LA. The record was last updated on Jan 13, 2011.