Individual
KALYAN KUMAR RATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
07/15/2026
Update your record
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