Provider Demographics
NPI:1548404189
Name:KATKAR, RUJUTA AMOL (BDS, MDS, MS)
Entity Type:Individual
Prefix:
First Name:RUJUTA
Middle Name:AMOL
Last Name:KATKAR
Suffix:
Gender:F
Credentials:BDS, MDS, MS
Other - Prefix:
Other - First Name:RUJUTA
Other - Middle Name:PRAKASH
Other - Last Name:BHOITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS, MDS
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-27
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA302821223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology