MEDICARE: KARTHIKA AMARANATHAN MD

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	2085R0202X	Diagnostic Radiology Physician	U9468	TX
2	2085R0202X	Diagnostic Radiology Physician	BP10083328	TX
3	2085R0202X	Diagnostic Radiology Physician	24258	NV

General Provider Information

NPI Number	:	1437654910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARTHIKA AMARANATHAN MD

Provider Business Mailing Address
First Line	:	11511 SHADOW CREEK PKWY
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-7298
Country	:	US
Telephone Number	:	713-442-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 HOLCOMBE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4004
Country	:	US
Telephone Number	:	713-792-2121
Fax Number	:

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

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	05/09/2024

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