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Individual

DR. KALYANI POLANI RAJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7679 PICTON DR, IRVING, TX 75063-1258
(214) 532-7206
(214) 227-9996
Mailing address
7679 PICTON DR, IRVING, TX 75063-1258
(214) 532-7206
(142) 227-9996

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K1287
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105337305
TX
05
105337306
TX
Enumeration date
05/24/2005
Last updated
10/31/2022
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