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Individual

AKSHATH KAMATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4400 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1892
(469) 322-7481
Mailing address
4400 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-1892
(469) 322-7481

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R6587
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200555350A
OK
05
201122280A
KS
Enumeration date
06/25/2010
Last updated
01/18/2022
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