Kamran Mahalati, M.D.
Surgery in Jackson, TN. Individual provider (NPI-1).
NPI number1518934603
StatusActive
Last updated in NPPESDec 24, 2025
Details
- NPI
- 1518934603
- Entity type
- Individual (NPI-1)
- Name
- Kamran Mahalati
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2006
- Certification date
- Dec 24, 2025
- Last updated
- Dec 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD39629 | TN | Yes |
Practice location
145 Innovation DrJackson, TN 38305-3019
Phone 731-422-0213 · Fax 731-506-1849
Mailing address
Po Box 400Jackson, TN 38302-0400
Phone 731-423-8697 · Fax 731-423-2073
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