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Individual

NAUTAM B GANATRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11800 ASTORIA BLVD, HOUSTON, TX 77089-6041
(281) 929-6180
Mailing address
909 FROSTWOOD DR STE 1.100, HOUSTON, TX 77024-2301
(504) 412-3700

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD.205715
LA
207R00000X
Internal Medicine Physician
R4223
TX
208M00000X
Hospitalist Physician
Primary
R4223
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03426331
MS
05
2342746
LA
01
CDS.042366-MD
LA BOARD OF PHARMACY
LA
01
MD.205715
LSBME
LA
Enumeration date
08/28/2007
Last updated
07/18/2024
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