Provider Demographics
NPI:1245212059
Name:KAMDAR, ANNA Y (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:Y
Last Name:KAMDAR
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27326 ROBINSON RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8960
Mailing Address - Country:US
Mailing Address - Phone:281-583-4600
Mailing Address - Fax:
Practice Address - Street 1:27326 ROBINSON RD STE 108
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-8960
Practice Address - Country:US
Practice Address - Phone:281-583-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY7326122300000X
TX32695122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY60000940Medicaid