Basic Information
| Provider Information | |||||||||
| NPI: | 1841375946 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KAGAL | ||||||||
| FirstName: | PRAKASH | ||||||||
| MiddleName: | PANDURANG | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 941165 | ||||||||
| Address2: | 1200,JUPITER ROAD | ||||||||
| City: | PLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750941165 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2144156035 | ||||||||
| FaxNumber: | 9725099075 | ||||||||
| Practice Location | |||||||||
| Address1: | 7777 FOREST LN | ||||||||
| Address2: | MEDICAL CITY HOSPITAL | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752302505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9725667000 | ||||||||
| FaxNumber: | 9725099075 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | KO851 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.