MEDICARE: DR. MONIKA UMMAT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	P7589	TX
2	174400000X	Specialist
3	2084N0400X	Neurology Physician	P7589	TX
4	2084N0402X	Neurology with Special Qualifications in Child Neurology Physician	P7589	TX
5	390200000X	Student in an Organized Health Care Education/Training Program
6	2084N0600X	Clinical Neurophysiology Physician	P7589	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184930018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MONIKA UMMAT M.D.

Provider Business Mailing Address
First Line	:	1313 LA CONCHA LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1809
Country	:	US
Telephone Number	:	832-831-7800
Fax Number	:	832-831-7801

Provider Business Practice Location Address
First Line	:	1313 LA CONCHA LN STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1809
Country	:	US
Telephone Number	:	832-831-7800
Fax Number	:	832-831-7801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	11/27/2023

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Directions to “ DR. MONIKA UMMAT M.D.” Practice Location

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