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

Kumaran Mudaliar, MD

Individual provider Dermatopathology Physician · NPI 1720304298

Kumaran Mudaliar, MD is a Pathology in Dallas, Texas. Qualified in 2009, 17 years ago. Practices with Laboratory Physicians Association, an 11-clinician group and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
17
Licensed in
IL, TX
In the registry since
2010
Specialties on file
3
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

1441 N Beckley Ave Pathology Dept
Dallas, TX 75203-1201
Phone: (214) 947-8181
Fax: (708) 327-2620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence T4227 (TX)
Dermatopathology Physician Taxonomy 207ND0900X · Licence T4227 (TX)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 036.132976 (IL)

Record details

NPI number1720304298
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2010
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing address1441 North Beckley Ave, Pathology Department, Dallas, TX 75203-1201

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Laboratory Physicians Association — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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