| Dr Kalyani Polani Raja, MD | |
|
7679 Picton Dr, Irving, TX 75063-1258 | |
| (214) 532-7206 | |
| (214) 227-9996 |
| Full Name | Dr Kalyani Polani Raja |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 7679 Picton Dr, Irving, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770586505 | NPI | - | NPPES |
| 105337305 | Medicaid | TX | |
| 105337306 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | K1287 (Texas) | Primary |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kalyani Polani Raja, MD 7679 Picton Dr, Irving, TX 75063-1258 Ph: (214) 532-7206 | Dr Kalyani Polani Raja, MD 7679 Picton Dr, Irving, TX 75063-1258 Ph: (214) 532-7206 |
Dr. Michelle Burnside Fowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 400 W Ih 635 Fwy, Suite 250, Irving, TX 75063 Phone: 972-481-6400 Fax: 972-831-9794 | |
Vicky R Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6724 Verde #228, Irving, TX 75039 Phone: 972-978-7473 | |
Joan P Kay, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2021 N Macarthur Blvd, Suite 250, Irving, TX 75061 Phone: 972-253-4310 Fax: 972-253-4326 | |
Dr. Satish Goel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8850 N. Macarthur Boulevard, 102, Irving, TX 75766 Phone: 972-444-8632 Fax: 972-444-8691 | |
Darlene Annie Kurian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6750 N Macarthur Blvd, Ste 206, Irving, TX 75039 Phone: 972-253-4345 Fax: 972-253-6425 | |
Hiren Anil Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 204 Seva Ct, Irving, TX 75061 Phone: 121-499-8632 | |
Agboola O Fatiregun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3501 N Macarthur Blvd Ste 450, Irving, TX 75062 Phone: 972-786-0330 Fax: 972-739-2894 |