Ameeta Katdare, MD
Individual provider Active NPI Pediatrics Physician · Waller, TX
NPI 1699039909 · NPPES record last updated Jul 2, 2012
Key facts
- NPI
- 1699039909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- P2698 (TX)
- Practice address
- 31303 FM 2920 Rd
Suite G
Waller, TX 77484-8197 - Phone
- (936) 931-3448
- Fax
- (936) 931-3704
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2698 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Specialty Care Clinic | Pediatrics | Past | Accepting new patients |
| Childrens Specialty Care Clinic | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P2698 | TX | Yes |
Addresses
Primary practice location
31303 FM 2920 Rd
Suite G
Waller, TX 77484-8197
Mailing address
1 Hermann Museum Circle Dr
Apt 4079
Houston, TX 77004-7174
Phone (713) 598-2499
Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.