P Praxis·MD
● Active Type 1 · Individual

Deepti Kallam, MD

Internal Medicine·Dallas, TX· NPI 1609209949 · Enumerated 2013 · 12 years on NPI
Kallam is 1 of 135 internal medicine providers in Dallas and 1 of 1069 in Texas.
NPI age
12 years
Enumerated 2013-08-09
Primary specialty
Internal Medicine
Plus 3 subspecialties
Licensed in
OH, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1069 active internal medicine providers in Texas.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 77% — 22% of peers are multi-state
Subspecialties
1
In the 52% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Practice location
3107 W Camp Wisdom Rd Ste 110
Dallas, TX 752372600
📞 2147652222fax 2142699902
Mailing address
3107 W Camp Wisdom Rd Ste 110
Dallas, TX 752372600
📞 2147652222fax 2142699902

Additional practice locations

6 secondary locations on file with NPPES.

Location 2
500 W Main St Ste 380
Lewisville, TX 750573606
📞 2143792700fax 9728693875
Location 3
1501 Kings Hwy, Internal Medicine
Shreveport, LA 711034228
📞 3188132528
Location 4
7415 Las Colinas Blvd Ste 100
Irving, TX 750637569
📞 2143792700fax 9728693875
Location 5
431 E State Highway 114 Ste 470
Southlake, TX 760924415
📞 2143792700fax 9728693875
Location 6
1301 W Henderson St Ste A
Cleburne, TX 760335117
📞 6822446688fax 8178200698
Location 7
10647 Canoe Dr
Coppell, TX 750195894
📞 0000000000

Specialties

  • Internal Medicine Primary
    An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine...
    OH license #35C000445TX license #S1620 taxonomy 207RH0003X
  • Internal Medicine
    An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and...
    TX license #S1620OH license #35C00445 taxonomy 207RX0202X

Identifiers

TypeValueNotes
05 (MO) 200122442
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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