Organization
MALATHI CHAMARTHI RAJU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALATHI CHAMARTHI-RAJU MD (OWNER)
(817) 928-5669
Entity
Organization
Contact information
Practice address
203 WALLS DR STE 100, CLEBURNE, TX 76033-7029
(817) 928-5669
Mailing address
PO BOX 100033, FORT WORTH, TX 76185-0033
(817) 928-5669
(817) 717-9680
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477716116
NPI
TX
Enumeration date
09/07/2019
Last updated
01/23/2020
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