Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | DR.0055454 | CO |
NPI | 1083971246 |
---|---|
Provider Name | Dr. Anjeli Prabhu Kalra |
First Address | Aurora, CO 80045-2560 |
Second Address | Aurora, CO 80045-2560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2012 |
Last Update Date | 09/05/2017 |