Provider Demographics
NPI:1285634972
Name:KALISH, RAIME B (MD)
Entity Type:Individual
Prefix:
First Name:RAIME
Middle Name:B
Last Name:KALISH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2425 FOUNTAIN VIEW DR STE 255
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-4835
Mailing Address - Country:US
Mailing Address - Phone:713-665-8890
Mailing Address - Fax:713-665-8290
Practice Address - Street 1:2425 FOUNTAIN VIEW DR STE 255
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-4835
Practice Address - Country:US
Practice Address - Phone:713-665-8890
Practice Address - Fax:713-665-8290
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK5320207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040557304Medicaid
TX040557304Medicaid
TX8535B6Medicare ID - Type Unspecified