Provider Demographics
NPI:1063558161
Name:SUBRAMANIAN, KALAIMANI (MD)
Entity type:Individual
Prefix:
First Name:KALAIMANI
Middle Name:
Last Name:SUBRAMANIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7290 GLENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8610
Mailing Address - Country:US
Mailing Address - Phone:817-595-9944
Mailing Address - Fax:817-589-1643
Practice Address - Street 1:7290 GLENVIEW DR
Practice Address - Street 2:
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8610
Practice Address - Country:US
Practice Address - Phone:817-595-9944
Practice Address - Fax:817-589-1643
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0626208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159186901Medicaid
TX165594601Medicaid
TX1891708004OtherGROUP NPI #
TX159186901Medicaid
TXH14206Medicare UPIN