Individual
INDRANIL KUSHARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17580 INTERSTATE 45 S, CONROE, TX 77384-4972
(936) 267-7200
Mailing address
17580 INTERSTATE 45 S # FF4, CONROE, TX 77384-4972
(936) 267-7200
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
MTL001434
DC
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
Q7407
TX
Other
Enumeration date
12/15/2013
Last updated
02/20/2023
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