MEDICARE: DR. AMARITA SINGH KLAR M.D.

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
1	208600000X	Surgery Physician	MT199145	PA
2	208600000X	Surgery Physician	Q8092	TX

General Provider Information

NPI Number	:	1447546205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMARITA SINGH KLAR M.D.

Provider Business Mailing Address
First Line	:	2728 HOOD ST
Second Line	:	APT 933
City	:	DALLAS
State	:	TX
Zip	:	75219-4804
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	DEPARTMENT OF SURGERY UT SOUTHWESTERN CTR
Second Line	:	5323 HARRY HINES BLVD
City	:	DALLAS
State	:	TX
Zip	:	75390
Country	:	US
Telephone Number	:	214-648-3515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2011
Last Update Date	:	07/31/2018

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