Individual
KUMARAN MUDALIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 NORTH BECKLEY AVE, PATHOLOGY DEPARTMENT, DALLAS, TX 75203-1201
(214) 947-8181
(708) 327-2620
Mailing address
1441 NORTH BECKLEY AVE, PATHOLOGY DEPARTMENT, DALLAS, TX 75203-1201
(214) 947-8181
(708) 327-2620
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
T4227
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.132976
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
T4227
TX
Other
Enumeration date
04/08/2010
Last updated
05/05/2023
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