Louisiana
Board of Licensing
Mandava Mamatha
Medical
License number
MD.206428
Date expires
11/30/2014
Class
Medical
Status
Active
Address
LSUHSC - PEDIATRICS, 1501 Kings Highway, SHREVEPORT, LA 71130
louisianalicensing.com
ID 21941866
LAST UPDATED 2026-03-28 21:20:41 UTC
LAST UPDATED 2026-03-28 21:20:41 UTC