SUJATHA GUBBALA (NPI# 1164818894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164818894 |
| Entity Type | Individual |
| Full Name | SUJATHA GUBBALA |
| Credential | MD |
| Practice Address |
647 Bienville Cir Natchitoches LA 71457 |
| Mailing Address |
Po Box 7111 Natchitoches LA 71457-0111 |
| Practice Telephone | 3182385990 |
| Practice Fax Number | 3182385993 |
| Mailing Telephone | 3182385990 |
| Mailing Fax Number | 3182385993 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2018-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 310047 | LA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1501 Kings Hwy, Fm, Shreveport, LA 711034228 | 3186755388 | 3186757950 |
| Street Address |
647 BIENVILLE CIR |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851561484 | Advanced Orthopaedic Surgery, LLC | Orthopaedic Surgery | 647 Bienville Cir, Natchitoches, LA 71457-5744 | 2008-03-11 |
| 1881174027 | Matta Medical Clinic LLC | Family Medicine | 647 Bienville Cir, Natchitoches, LA 71457-5744 | 2018-08-16 |
| 1427228063 | Kathleen Kautz M D Medical Corporation | Internal Medicine | 647 Bienville Cir, Natchitoches, LA 71457-5744 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467695528 | William Bailey Luster | Family Medicine | 617 Bienville St, Suite B, Natchitoches, LA 71457-5730 | 2009-04-19 |
| 1861484933 | Joan Walker | Family Medicine | 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 | 2005-08-16 |
| 1760488969 | John Edward Hogg | Family Medicine | 615 Bienville St, Natchitoches, LA 71457-5730 | 2005-06-22 |
| 1023013752 | James Daryl Knecht | Family Medicine | 1029 Keyser Avenue, Ste F, Natchitoches, LA 71457-6239 | 2005-06-17 |
| 1992352660 | Michael Azubuike Uwaelue | Family Medicine | 1640 Breazeale Springs St, Natchitoches, LA 71457-4278 | 2019-08-19 |
| 1881174027 | Matta Medical Clinic LLC | Family Medicine | 647 Bienville Cir, Natchitoches, LA 71457-5744 | 2018-08-16 |
| 1225499361 | Cane River Family Medicine A Professional Medical Corporation | Family Medicine | 617 Bienville St, Suite B, Natchitoches, LA 71457 | 2016-03-17 |
| 1174969133 | Bryan Anthony Picou Jr. | Family Medicine | 1029 Keyser Ave, Suite G, Natchitoches, LA 71457-6239 | 2013-05-17 |
| 1508182197 | Fair Medical Clinic Apmc | Family Medicine | 615 Bienville St, Natchitoches, LA 71457-5730 | 2010-04-08 |
| 1871795674 | Anil Matta | Family Medicine | 501 Keyser Ave, Natchitoches, LA 71457-6018 | 2007-06-04 |
| Find all providers in NATCHITOCHES | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
Please comment or provide details below to improve the information on SUJATHA GUBBALA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.