Doctor Name: | DR. CHANDRA M KATTA |
NPI Number: | 1831131499 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 08484R |
Business Practice Address: | 7414 Sumrall Dr Suite C Baton Rouge, LA - 708121240 |
Business Phone Number: | 2254482937 |
Business Fax Number: | 2252468936 |
Mailing Address: | 5718 Fir Lane, LAKE CHARLES |
State: | LA |
Postal Code: | 706058122 |
Phone Number: | 3374788555 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2006 |
NPI Last Update Date: | 08/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | 08484R |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |