MEDICARE: DR. NATARAJ G KASAL 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	207RG0100X	Gastroenterology Physician	35.142309	OH
2	207RG0100X	Gastroenterology Physician	01076607A	IN
3	207RG0100X	Gastroenterology Physician	E5808	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00160992	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912915034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATARAJ G KASAL MD

Provider Business Mailing Address
First Line	:	6300 RIDGLEA PL STE 1103
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5737
Country	:	US
Telephone Number	:	817-926-9087
Fax Number	:

Provider Business Practice Location Address
First Line	:	6300 RIDGLEA PL STE 1103
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5737
Country	:	US
Telephone Number	:	817-926-9087
Fax Number	:

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	03/20/2024

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