MEDICARE: DR. KAMALA P TAMIRISA MD

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	207RC0001X	Clinical Cardiac Electrophysiology Physician	S2180	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P00751115	OTHER	RRMC
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861490955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMALA P TAMIRISA MD

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:	972-566-4822
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 INWOOD RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7202
Country	:	US
Telephone Number	:	214-645-8000
Fax Number	:

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	03/03/2026

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