Provider Demographics
NPI:1497999536
Name:INDRAMOHAN, GITANJALI (MD)
Entity Type:Individual
Prefix:DR
First Name:GITANJALI
Middle Name:
Last Name:INDRAMOHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1133 JOHN FREEMAN BLVD # 205N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2809
Mailing Address - Country:US
Mailing Address - Phone:713-500-6443
Mailing Address - Fax:713-486-0989
Practice Address - Street 1:6411 FANNIN
Practice Address - Street 2:CHILDREN'S MEMORIAL HERMANN HOSPITAL
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-500-6443
Practice Address - Fax:713-486-0989
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ14232080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine