SIDDHARTHA RATH MD PA (NPI# 1386119576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386119576 |
| Entity Type | Organization |
| Organization Name | SIDDHARTHA RATH MD PA |
| Practice Address |
3125 Matlock Rd Ste 107 Arlington TX 76015-2905 |
| Mailing Address |
204 Stockton Dr Southlake TX 76092-2224 |
| Practice Telephone | 6612034304 |
| Mailing Telephone | 6612034304 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Authorized Official Name | SIDDHARTHA RATH (OWNER) |
| Authorized Official Telephone | 6612034304 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 339868701 | 05 |
| Street Address |
3125 MATLOCK RD STE 107 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487646295 | Ponnaiah C. Mohan | Internal Medicine | 3125 Matlock Rd Ste 107, Arlington, TX 76015-2905 | 2005-08-17 |
| 1619449402 | Renal Specialists of North Texas Pllc | Internal Medicine | 3125 Matlock Rd Ste 107, Arlington, TX 76015-2905 | 2018-12-18 |
| 1255541504 | Siddhartha Rath | Surgery | 3125 Matlock Rd Ste 107, Arlington, TX 76015 | 2007-05-23 |
| 1093765299 | Suman Bireddy | Internal Medicine | 3125 Matlock Rd Ste 107, Arlington, TX 76015-2905 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1548575897 | Better Way Restoration Ministry | Clinic/Center | 1011 S Bowen Rd, Arlington, TX 76013-2203 | 2010-08-11 |
| 1639583800 | Vitalo-t Center, LLC | Clinic/Center | 300 W Arbrook Blvd, Suite E, Arlington, TX 76014-3105 | 2014-06-16 |
| 1023353638 | Steer Optical LLC | Clinic/Center | 4238 Wilson Blvd, Suite 3140, Arlington, VA 22203-1823 | 2012-12-07 |
| 1104120351 | Leonardo Mendez Md PC | Clinic/Center | 1635 N George Mason Dr, Suite 470, Arlington, VA 22205-3601 | 2011-01-03 |
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| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.