Provider Demographics
NPI:1114791035
Name:RISHI, EKTA (MBBS, MS, FRCS)
Entity type:Individual
Prefix:
First Name:EKTA
Middle Name:
Last Name:RISHI
Suffix:
Gender:F
Credentials:MBBS, MS, FRCS
Other - Prefix:
Other - First Name:EKTA
Other - Middle Name:
Other - Last Name:ANAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS, MS
Mailing Address - Street 1:4502 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4402
Mailing Address - Country:US
Mailing Address - Phone:210-567-0407
Mailing Address - Fax:
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-567-0407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-10
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48170207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology