Individual
DR. ANKHI DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
17580 INTERSTATE 45 S, CONROE, TX 77384-4972
(936) 267-5000
Mailing address
17580 INTERSTATE 45 S STE WA360, CONROE, TX 77384-4972
(936) 267-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
N1311
TX
2080P0208X
Pediatric Infectious Diseases Physician
Primary
N1311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187842301
—
TX
Enumeration date
02/10/2009
Last updated
06/14/2024
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