Provider Demographics
NPI:1548337371
Name:NATH, RAHUL K (MD)
Entity type:Individual
Prefix:DR
First Name:RAHUL
Middle Name:K
Last Name:NATH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 270750
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77277-0750
Mailing Address - Country:US
Mailing Address - Phone:713-592-9900
Mailing Address - Fax:713-592-9921
Practice Address - Street 1:6400 FANNIN STREET STE 2290
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-592-9900
Practice Address - Fax:713-592-9921
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2019-01-04
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Provider Licenses
StateLicense IDTaxonomies
CODR412372086S0122X
AZ313882086S0122X
CAG867992086S0122X
MOR2P382086S0122X
OH35083728N2086S0122X
PAMD4207792086S0122X
NJ25MA077157002086S0122X
WAMD000420002086S0122X
NY2269872086S0122X
MA2135862086S0122X
FLME879372086S0122X
IL0361083212086S0122X
MDD00605282086S0122X
TXK49692086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F30178Medicare UPIN