Kalyan Kumar Rath
M.D. | Pediatrics | Male
Kalyan Kumar Rath, M.D. is a Jasper, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Kalyan Kumar Rath is
1273 S Peachtree, Jasper, Texas - 75951. He can be contacted on phone at
409-384-9200 and fax number 409-384-9205.
Kalyan Kumar Rath is a sole proprietor of his business.
NPI number (Unique professional ID) for Kalyan Kumar Rath is
1639188147 which was assigned by NPPES on 05 Aug, 2006 and it was last updated on 01 Jun, 2011.
Kalyan Kumar Rath license number is
K1016 for Pediatrics (208000000X) in Texas.
Kalyan Kumar Rath is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Kalyan Kumar Rath basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Kalyan Kumar Rath |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Kalyan Kumar Rath address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1273 S Peachtree
Jasper, TX, 75951
United States |
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| Phone Number : | 409-384-9200 |
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| Fax Number : | 409-384-9205 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1639188147 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2006 |
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| Last Updated On : | 01 Jun, 2011 |
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Medicare Participation:
Kalyan Kumar Rath participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6406764158 |
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| Medicare Enrollment ID : | I20110809000073 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1986 |
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| Accepts Medicare? | Yes. Kalyan Kumar Rath accepts medicare insurance. |
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Group Practice Association:
Kalyan Kumar Rath is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Kalyan Kumar Rath is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| East Texas Family Healthcare Pllc | 2961310610 | 7 | 1273 S Peachtree St
Jasper, TX - 759514915
Ph: 4093849200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kalyan Kumar Rath are as mentioned. Primary taxonomy code for Kalyan Kumar Rath, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 261QR1300X | Clinic/Center Rural Health | No | K1016 | TX |
| 208000000X | Pediatrics | Yes | K1016 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Kalyan Kumar Rath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 121389401 | MEDICAID | TX | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1273 S. Peachtree St.
Jasper, TX, 75951
United States |
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| Phone Number : | 409-384-9200 |
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| Fax Number : | 409-384-9205 |
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Business Location:
Patients can refer following map for directions to
Kalyan Kumar Rath practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.