Ghattas Medical Corporation

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

206802 Issued in LA

Legal business name

GHATTAS MEDICAL CORPORATION

Practice address

2812 Caribbean CV
Shreveport, LA 71105-2763

Phone

(318) 207-3206

Fax

(318) 747-9994

NPI assigned

Feb 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tharwat Ghattas, M.D.

Title

Owner

Phone

(318) 207-3206

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1235520982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 CARIBBEAN CV",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052763",
            "telephone_number": "318-207-3206",
            "fax_number": "318-747-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 CARIBBEAN CV",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052763",
            "telephone_number": "318-207-3206",
            "fax_number": "318-747-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHATTAS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "GHATTAS",
        "authorized_official_first_name": "THARWAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-207-3206",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "206802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Gertze, MD
• Amy Kathryn Gessford, D.O.
• Yahya Ghaffar
• Ghali Elias Ghali, DDS, MD
• Jinan M. Ghali, M.D.
• Naomi Ghildiyal, MD
• Abhilasha Ghildyal, MD, MPH
• Zara Ghos
• Jasneet Ghuman
• Gi Specialists Hospitalists at WKMC

• Student in an Organized Health Care Education/Training Program in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Student in an Organized Health Care Education/Training Program in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.