Individual
SIDDHARTHA RATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 OMEGA DR, ARLINGTON, TX 76014-2006
(817) 466-7400
Mailing address
204 STOCKTON DR, SOUTHLAKE, TX 76092-2224
(318) 769-3501
(318) 769-3502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A100317
CA
208600000X
Surgery Physician
Primary
P8530
TX
2086S0127X
Trauma Surgery Physician
025375
LA
Other
Enumeration date
05/23/2007
Last updated
05/17/2021
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