Individual
MALATHI CHAMARTHI RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
203 WALLS DR STE 100, CLEBURNE, TX 76033-7029
(817) 928-5669
Mailing address
1000 W CANNON ST, FORT WORTH, TX 76104-3029
(817) 877-5858
(817) 335-4418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2025
TX
207RN0300X
Nephrology Physician
MA082562
NJ
207RN0300X
Nephrology Physician
Primary
N2025
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206758903
—
TX
Enumeration date
07/02/2008
Last updated
04/02/2025
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