Dr Ankhi Dutta, MD, MPH | |
17580 Interstate 45 S, Conroe, TX 77384-4972 | |
(936) 267-5000 | |
Not Available |
Full Name | Dr Ankhi Dutta |
---|---|
Gender | Female |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 17580 Interstate 45 S, Conroe, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235378563 | NPI | - | NPPES |
187842301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | N1311 (Texas) | Secondary |
2080P0208X | Pediatrics - Pediatric Infectious Diseases | N1311 (Texas) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
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Dr Ankhi Dutta, MD, MPH 17580 Interstate 45 S Ste Wa360, Conroe, TX 77384-4972 Ph: (936) 267-5000 | Dr Ankhi Dutta, MD, MPH 17580 Interstate 45 S, Conroe, TX 77384-4972 Ph: (936) 267-5000 |
Melissa Elaine Prihoda, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 River Pointe Dr, Suite 100, Conroe, TX 77304 Phone: 936-756-8108 | |
Murray Bruce Fershtman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3115 College Park Dr, Ste #104, Conroe, TX 77384 Phone: 936-321-5030 Fax: 936-271-5033 | |
Richard Calvin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 River Pointe Dr, 100, Conroe, TX 77304 Phone: 936-756-8108 | |
Michael Ebhota Okogbo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15210 I-45 S, Suite 110, Conroe, TX 77384 Phone: 936-270-8655 Fax: 936-270-8739 | |
Natasha Shah, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1169 Grand Central Pkwy, Conroe, TX 77304 Phone: 936-525-3600 Fax: 936-525-3624 | |
Lesley Gardiner, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 404 River Pointe Dr, Suite 100, Conroe, TX 77304 Phone: 936-756-8108 Fax: 936-441-4013 | |
Susan Alice Lee, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 17580 Interstate 45 S, Conroe, TX 77384 Phone: 936-267-5000 |