Individual
VASUDEVA M KAMATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 MEDICAL CENTER BLVD, NICU CRMC, CONROE, TX 77304-2808
(936) 539-7757
(936) 788-8046
Mailing address
PO BOX 3104, CONROE, TX 77305-3104
(936) 539-7757
(936) 788-8046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
207490
NY
174400000X
Specialist
M0122
TX
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
207490-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181801501
—
TX
01
—
8W1652
BLUECROSS
TX
Enumeration date
07/13/2006
Last updated
01/24/2017
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