Mahalati, Kamran

Mahalati, Kamran is an individual health care provider with primary practice located at 700 W Forest Ave Ste 300, Jackson TN 38301-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mahalati, Kamran can be contacted via phone (731) 422-0310.

Contact Information

Primary practice address
700 W Forest Ave Ste 300 Jackson TN 38301-3937
Phone: (731) 422-0310
Fax: (731) 422-0440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD39629 Tennessee

Profile Details

NPI number 1518934603
LBN Legal business name Mahalati, Kamran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Nov 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518934603 NPPES
Tennessee MEDICAID 3329993

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