Individual
ADITI GHATAK-ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9835 N LAKE CREEK PKWY, AUSTIN, TX 78717-6210
(737) 229-2000
Mailing address
11607 SHERWOOD FRST, AUSTIN, TX 78759-4306
(512) 769-4627
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101275508
VA
207P00000X
Emergency Medicine Physician
Primary
U5105
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
U5105
TX
Other
Enumeration date
03/31/2017
Last updated
03/05/2024
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