Matta Medical Clinic Llc

LBN: Matta Medical Clinic Llc
Matta Medical Clinic Llc is an health care organization with primary practice located at 647 Bienville Cir , Natchitoches LA 71457-5744. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Matta Medical Clinic Llc can be contacted via phone (318) 238-5990, or through Gubbala, Sujatha via phone (318) 238-5990.

Contact Information

Primary practice address
647 Bienville Cir Natchitoches LA 71457-5744
Phone: (318) 238-5990
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gubbala, Sujatha Doctor of Medicine (MD)
Phone: (318) 238-5990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1881174027
LBN Legal business name Matta Medical Clinic Llc
DBA Doing business as
Authorized official Gubbala, Sujatha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2018
Last updated Aug 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881174027 NPPES
Louisiana MEDICAID 2387766

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