Provider Demographics
NPI:1740784743
Name:KALSEKAR, AYAZ GHOUSE (MD)
Entity type:Individual
Prefix:
First Name:AYAZ
Middle Name:GHOUSE
Last Name:KALSEKAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 420009
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0009
Mailing Address - Country:US
Mailing Address - Phone:214-345-7280
Mailing Address - Fax:214-345-4487
Practice Address - Street 1:8200 WALNUT HILL LANE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4402
Practice Address - Country:US
Practice Address - Phone:214-345-7280
Practice Address - Fax:214-245-4487
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT3107207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology