Provider Demographics
NPI:1073530986
Name:KAKAR, RAJDEEP S (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RAJDEEP
Middle Name:S
Last Name:KAKAR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:RAJ
Other - Middle Name:
Other - Last Name:KAKAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:6313 PRESTON RD
Mailing Address - Street 2:STE 400
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6313 PRESTON RD
Practice Address - Street 2:STE 400
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2606
Practice Address - Country:US
Practice Address - Phone:972-473-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0121207R00000X, 208M00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI60081Medicare UPIN
TX8F3340Medicare PIN