Individual
DR. MADHURI KAMATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Mailing address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 960-5681
(214) 960-5681
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q7400
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q7400
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Q7400
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A97936
MEDICAL LICENSE
CA
01
—
MD 204535
STATE MEDICAL BOARD
LA
01
—
Q7400
TEXAS MEDICAL LICENSE
TX
Enumeration date
12/14/2006
Last updated
11/09/2023
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