Dr ANIL S MATTA is a male medical professional, specializing in Family Medicine. He graduated in 1999.
MATTA MEDICAL CLINIC LLC
647 BIENVILLE CIR
NATCHITOCHES
LA
714575744
Tel: 3182385990
| Npi | 1871795674 |
| Pac Id | 6507951258 |
| Professional Enrollment Id | I20070926001082 |
| Last Name | MATTA |
| First Name | ANIL |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| 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 |
| Hospital Affiliation Ccn 2 | 190218 |
| Hospital Affiliation Lbn 2 | SABINE MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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