Supriya Ghanta, MD

NPI 1669550521 · on the registry since 2006 · sole proprietor

Practice

Address: 103 Belview Rd
Leesville, LA 71446
Phone: (337) 238-6431
Fax: (337) 238-7070
Organisation at this address: Heal Corporation
West Louisiana Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 103TB0200X
103TB0200X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-11-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana