Individual
DR. KARTHIKEYANI KATHIRESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2301 S CLEAR CREEK RD #106, KILLEEN, TX 76549-4110
(254) 526-2343
(254) 526-1084
Mailing address
PO BOX 1658, SAN ANTONIO, TX 78296-1658
(254) 526-2343
(254) 526-1084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP2002029780
TX
2084N0400X
Neurology Physician
Primary
M8753
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198006202
—
TX
Enumeration date
01/10/2008
Last updated
03/13/2012
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