Individual
NISHA KAROTTEDATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2358
(832) 824-1000
Mailing address
17403 MARIGOLD DR, SUGAR LAND, TX 77479-3067
(407) 617-8821
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1018974
TX
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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