Provider Demographics
NPI:1740819101
Name:OJHA, PRATIMA (MD)
Entity type:Individual
Prefix:DR
First Name:PRATIMA
Middle Name:
Last Name:OJHA
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 1:1750 ROUND ROCK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4215
Mailing Address - Country:US
Mailing Address - Phone:123-889-4955
Mailing Address - Fax:512-716-0371
Practice Address - Street 1:1750 ROUND ROCK AVE STE 100
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4215
Practice Address - Country:US
Practice Address - Phone:512-388-9495
Practice Address - Fax:512-716-0371
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU5185207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty