Provider Demographics
NPI:1528268331
Name:KARMEGAM, SATHISH (MD)
Entity type:Individual
Prefix:DR
First Name:SATHISH
Middle Name:
Last Name:KARMEGAM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4147 BUCKNER AVE
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-1218
Mailing Address - Country:US
Mailing Address - Phone:702-273-9979
Mailing Address - Fax:
Practice Address - Street 1:3537 S INTERSTATE 35 E BLDG STE 320
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6800
Practice Address - Country:US
Practice Address - Phone:214-851-1777
Practice Address - Fax:855-576-4130
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3694207RN0300X, 207R00000X, 207RN0300X
LA307388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ532400Medicaid
TX376051405Medicaid