Individual
KALYAN KUMAR RATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1273 S PEACHTREE, JASPER, TX 75951
(409) 384-9200
(409) 384-9205
Mailing address
1273 S. PEACHTREE ST., JASPER, TX 75951
(409) 384-9200
(409) 384-9205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1016
TX
261QR1300X
Rural Health Clinic/Center
K1016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121389401
—
TX
Enumeration date
08/05/2006
Last updated
06/01/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us