Provider Demographics
NPI:1457461709
Name:UTTURKAR & ASSOCIATES
Entity Type:Organization
Organization Name:UTTURKAR & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANANT
Authorized Official - Middle Name:K
Authorized Official - Last Name:UTTURKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-581-0303
Mailing Address - Street 1:260 RESACA POINT RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4091
Mailing Address - Country:US
Mailing Address - Phone:956-581-0303
Mailing Address - Fax:
Practice Address - Street 1:100 E ALTON GLOOR BLVD STE A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3354
Practice Address - Country:US
Practice Address - Phone:956-581-0303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX188196301Medicaid
TX0074PSOtherBC BS TEXAS
TX137848113Medicaid
TXDH0199Medicare PIN
TX00W976Medicare PIN
TX137848113Medicaid