Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ajay Shubhadeep Kallam, MD

Individual provider Nephrology Physician · NPI 1306003124

Ajay Shubhadeep Kallam, MD is a Nephrology in Dallas, Texas. Qualified in 2006, 20 years ago. Practices with Dallas Renal Group, PA, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3571 W Wheatland Rd Ste 101
Dallas, TX 75237-3461
Phone: (972) 274-5555
Fax: (972) 274-5663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence Q6432 (TX)

Record details

NPI number1306003124
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2008
Last updated in NPPESJune 20, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Dallas Renal Group, P.A. — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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