Healthcare Provider Details

I. General information

NPI: 1861538985
Provider Name (Legal Business Name): KAMALSINGH M RATHOD MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N HIGHLAND AVE SUITE 100
SHERMAN TX
75092-7386
US

IV. Provider business mailing address

321 N HIGHLAND AVE SUITE 100
SHERMAN TX
75092-7386
US

V. Phone/Fax

Practice location:
  • Phone: 903-893-1011
  • Fax: 866-240-2131
Mailing address:
  • Phone: 903-893-1011
  • Fax: 866-240-2131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberG4690
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberG6377
License Number StateTX

VIII. Authorized Official

Name: MR. KAMALSINGH M RATHOD
Title or Position: CEO
Credential: MD
Phone: 903-893-1011