Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | Q7720 | TX |
NPI | 1003059114 |
---|---|
Provider Name | Dr. Ricky Raj Singh Kalra |
First Address | Frisco, TX 75034-9595 |
Second Address | Frisco, TX 75034-9595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2009 |
Last Update Date | 20/08/2019 |