Basic Information
Provider Information
NPI: 1053542654
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAMDAR
FirstName: ANKUR
MiddleName: ASHWIN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6431 FANNIN ST
Address2: MSB 3.228
City: HOUSTON
State: TX
PostalCode: 770301501
CountryCode: US
TelephoneNumber: 7135005650
FaxNumber: 7135000088
Practice Location
Address1: 6410 FANNIN ST
Address2: SUITE 500
City: HOUSTON
State: TX
PostalCode: 770303000
CountryCode: US
TelephoneNumber: 7135006361
FaxNumber: 7135000653
Other Information
ProviderEnumerationDate: 07/30/2009
LastUpdateDate: 06/13/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0216XN1700TXY Allopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology

No ID Information.


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