Provider Demographics
NPI:1407870694
Name:ROBERTSON, KIRAN SEHDEV (MD)
Entity Type:Individual
Prefix:DR
First Name:KIRAN
Middle Name:SEHDEV
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6300 STONEWOOD DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024
Mailing Address - Country:US
Mailing Address - Phone:972-867-1803
Mailing Address - Fax:972-867-1603
Practice Address - Street 1:7777 FOREST LN
Practice Address - Street 2:SUITE C-300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2571
Practice Address - Country:US
Practice Address - Phone:972-566-6000
Practice Address - Fax:972-566-6966
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2013-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK1909207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG51433Medicare UPIN
TX8D3704Medicare ID - Type Unspecified