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NPI Code Detail

MEDICARE: AJITH ANTONY MD

MEDICARE: AJITH ANTONY 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
12085R0204XVascular & Interventional Radiology PhysicianBP10096228TX

General Provider Information

NPI Number : 1750215695
Entity Type Code : Individual
Provider Name (Legal Business Name) : AJITH ANTONY MD
Provider Business Mailing Address
First Line : 2001 WESTHEIMER RD APT 437
Second Line :
City : HOUSTON
State : TX
Zip : 77098-1642
Country : US
Telephone Number : 507-398-4897
Fax Number :
Provider Business Practice Location Address
First Line : 1515 HOLCOMBE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-4009
Country : US
Telephone Number : 507-398-4897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ AJITH ANTONY MD” Practice Location

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