Provider Demographics
NPI:1417973165
Name:KALE, PARAG P (MD)
Entity Type:Individual
Prefix:
First Name:PARAG
Middle Name:P
Last Name:KALE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 WORTH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2073
Mailing Address - Country:US
Mailing Address - Phone:214-820-6856
Mailing Address - Fax:214-820-1474
Practice Address - Street 1:3410 WORTH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:214-820-6856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9605207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX340827003Medicaid
OH000000224286OtherUNISON
OH2562874OtherAETNA
OH60063897OtherRAILROAD MEDICARE
OHP00454355OtherRAILROAD MEDICARE
OH2006108Medicaid
TX340827002Medicaid
OH000000539426OtherANTHEM
TX340827001Medicaid
OH363679OtherWELLCARE
OH736935OtherBUCKEYE
OH000000539426OtherANTHEM
G50937Medicare UPIN
OH000000224286OtherUNISON
TX340827002Medicaid
OHKA0823722Medicare PIN
TX371169YKTPMedicare PIN