Individual
DR. NEELKANTHA AMATYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 MEDICAL PKWY STE 110, LAKEWAY, TX 78738-1792
(512) 654-0150
(512) 654-0155
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R6515
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R6515
TX
Other
Enumeration date
08/26/2009
Last updated
09/04/2020
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