Provider Demographics
NPI:1740316397
Name:UTTURKAR, PRATIMA JOSHI (MD)
Entity type:Individual
Prefix:DR
First Name:PRATIMA
Middle Name:JOSHI
Last Name:UTTURKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PRATIMA
Other - Middle Name:PREMJI
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:260 RESACA POINT RD
Mailing Address - Street 2:P.O.BOX 3888
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4091
Mailing Address - Country:US
Mailing Address - Phone:956-605-7599
Mailing Address - Fax:956-350-6658
Practice Address - Street 1:2721 BOCA CHICA BLVD
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3501
Practice Address - Country:US
Practice Address - Phone:956-605-7599
Practice Address - Fax:956-350-6658
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2873207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207W00000XOtherTAXONOMY
TX00TC54Medicare ID - Type Unspecified
TX207W00000XOtherTAXONOMY