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NPI Code Detail

MEDICARE: DR. KAMALASANTHI MASILAMANI PHARM.D., CDE

MEDICARE: DR. KAMALASANTHI MASILAMANI PHARM.D., CDE
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
11835P1200XPharmacotherapy Pharmacist38703TX
21835P1200XPharmacotherapy Pharmacist12561OK

General Provider Information

NPI Number : 1538161690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAMALASANTHI MASILAMANI PHARM.D., CDE
Provider Business Mailing Address
First Line : 1314 ROMERO DR
Second Line :
City : PEARLAND
State : TX
Zip : 77581-5263
Country : US
Telephone Number : 281-464-9854
Fax Number :
Provider Business Practice Location Address
First Line : 818 RINGOLD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77088-6368
Country : US
Telephone Number : 281-260-3375
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 09/05/2007

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