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Individual

DR. AJANTA PATRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 621-7436
(713) 963-9051
Mailing address
7026 OLD KATY RD STE 276, HOUSTON, TX 77024-2187
(713) 621-7436
(713) 963-9051

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA08901000
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
P2051
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0274046
NJ
Enumeration date
02/08/2007
Last updated
06/11/2014
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