| Mamatha Ananth, MD | |
|
433 Plaza St Ste 1a, Bogalusa, LA 70427-3729 | |
| (985) 730-6970 | |
| (985) 730-6398 |
| Full Name | Mamatha Ananth |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 433 Plaza St Ste 1a, Bogalusa, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467447185 | NPI | - | NPPES |
| 1797103 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | MD11747R (Louisiana) | Primary |
| Entity Name | Childrens Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20210811000749 |
| Mailing Address | Practice Location Address |
|---|---|
| Mamatha Ananth, MD 433 Plaza St, Bogalusa, LA 70427-3729 Ph: (985) 730-6970 | Mamatha Ananth, MD 433 Plaza St Ste 1a, Bogalusa, LA 70427-3729 Ph: (985) 730-6970 |
George Cowan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 405 Avenue F, Bogalusa, LA 70427 Phone: 985-732-1568 Fax: 985-732-4458 | |
Uyen D Nguyen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 433 Plaza St Ste 1a, Bogalusa, LA 70427 Phone: 985-730-6970 Fax: 985-730-6398 | |
Katie Queen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 433 Plaza St Ste 1a, Bogalusa, LA 70427 Phone: 225-730-6970 Fax: 985-730-6398 |