Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | D58037 | MD |
NPI | 1063495232 |
---|---|
Provider Name | Dr. Kavita B Kalra |
First Address | Baltimore, MD 21201-4648 |
Second Address | Baltimore, MD 21201-4648 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 21/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
510806300 | (05) | MD |
64768601 | BCBS (01) | MD |
H64535 | (02) |