Provider Demographics
NPI:1699039909
Name:KATDARE, AMEETA (MD)
Entity Type:Individual
Prefix:
First Name:AMEETA
Middle Name:
Last Name:KATDARE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HERMANN MUSEUM CIRCLE DR
Mailing Address - Street 2:APT 4079
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7174
Mailing Address - Country:US
Mailing Address - Phone:713-598-2499
Mailing Address - Fax:936-931-3704
Practice Address - Street 1:31303 FM 2920 RD
Practice Address - Street 2:SUITE G
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8197
Practice Address - Country:US
Practice Address - Phone:936-931-3448
Practice Address - Fax:936-931-3704
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2698208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics