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

Kamran Mahalati, MD

Individual provider Surgery Physician · NPI 1518934603

Kamran Mahalati, MD is a General Surgery in Jackson, Tennessee. Qualified in 1991, 35 years ago. Practices with Jackson Clinic PA, a 176-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
35
Licensed in
TN
In the registry since
2006
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

145 Innovation Dr
Jackson, TN 38305-3019
Phone: (731) 422-0213
Fax: (731) 506-1849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD39629 (TN)

Record details

NPI number1518934603
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 7, 2006
Last updated in NPPESDecember 24, 2025
Certification dateDecember 24, 2025
Mailing addressPo Box 400, Jackson, TN 38302-0400

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Jackson Clinic Pa — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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