Dr SUJATHA GUBBALA is a female medical professional, specializing in Family Medicine. She graduated in 2006.
MATTA MEDICAL CLINIC LLC
647 BIENVILLE CIR
NATCHITOCHES
LA
714575744
Tel: 3182385990
| Npi | 1164818894 |
| Pac Id | 6800175845 |
| Professional Enrollment Id | I20181029000993 |
| Last Name | GUBBALA |
| First Name | SUJATHA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | MATTA MEDICAL CLINIC LLC |
| Group Practice Pac Id | 0749533396 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 647 BIENVILLE CIR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 714575744 |
| Phone Number | 3182385990 |
| Hospital Affiliation Ccn 1 | 190007 |
| Hospital Affiliation Lbn 1 | NATCHITOCHES REGIONAL MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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