IndividualActive
Mamatha Ananth, MD
NPI 1467447185 · Pediatric Adolescent Medicine Physician · Bogalusa, LA
Provider details
- NPI number
- 1467447185
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD11747R (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
433 Plaza St Ste 1a
Bogalusa, LA 70427-3729
Phone: (985) 730-6970
Fax: (985) 730-6398
Approximate (ZIP-level) locationGet directions
Mailing address
433 Plaza St
Bogalusa, LA 70427-3729
Additional practice locations (1)
- 52579 Highway 51 SIndependence, LA 70443-2231Phone: (985) 878-9421Fax: (985) 878-1285
Registry dates
- Enumerated
- 2005-09-19
- Last updated
- 2019-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.