Dr Chandra M Katta, MD | |
7414 Sumrall Dr, Suite C, Baton Rouge, LA 70812-1240 | |
(225) 448-2937 | |
(225) 246-8936 |
Full Name | Dr Chandra M Katta |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 7414 Sumrall Dr, Baton Rouge, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831131499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 08484R (Louisiana) | Primary |
Entity Name | The Village Life Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144634528 PECOS PAC ID: 5092094292 Enrollment ID: O20171116002791 |
Entity Name | New Decisions, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366821670 PECOS PAC ID: 8123440591 Enrollment ID: O20210209000130 |
Entity Name | 360 Recovery Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033738562 PECOS PAC ID: 5991126047 Enrollment ID: O20210211002123 |
Entity Name | Hope Behavioral Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124564711 PECOS PAC ID: 4183030018 Enrollment ID: O20210413002531 |
Entity Name | Total Life Cares Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376158154 PECOS PAC ID: 0749674455 Enrollment ID: O20220223000695 |
Mailing Address | Practice Location Address |
---|---|
Dr Chandra M Katta, MD 5718 Fir Lane, Lake Charles, LA 70605-8122 Ph: (337) 478-8555 | Dr Chandra M Katta, MD 7414 Sumrall Dr, Suite C, Baton Rouge, LA 70812-1240 Ph: (225) 448-2937 |