Individual
DR. RAJESH S. PADMANABHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3215 OMEGA DR, ARLINGTON, TX 76014-2006
(817) 466-7400
(817) 465-6582
Mailing address
3215 OMEGA DR, ARLINGTON, TX 76014-2006
(817) 466-7400
(817) 465-6582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M0209
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090MB
BCBS PROVIDER NO.
TX
01
—
1424679
CIGNA PROVIDER NO.
TX
05
—
178434001
—
TX
01
—
2490792
UHC PROVIDER NO.
TX
01
—
4324375
BLUE LINK ID (BCBS)
TX
01
—
7824629
AETNA PROVIDER NO.
TX
Enumeration date
08/21/2006
Last updated
03/13/2019
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