Basic Information
Provider Information
NPI: 1164636072
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALAGATE
FirstName: RAJNI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 961205
Address2:  
City: FORT WORTH
State: TX
PostalCode: 761610205
CountryCode: US
TelephoneNumber: 8177408400
FaxNumber: 8172947425
Practice Location
Address1: 6601 DAN DANCIGER RD STE 100
Address2:  
City: FORT WORTH
State: TX
PostalCode: 761334953
CountryCode: US
TelephoneNumber: 8172942531
FaxNumber: 8172947425
Other Information
ProviderEnumerationDate: 05/09/2007
LastUpdateDate: 01/21/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RR0500XQ0472TXY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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