Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35078485 | OH |
N | 2080P0214X | Pediatric Pulmonologist | 35.078485 | OH |
NPI | 1699856823 |
---|---|
Provider Name | Maninder Kalra |
First Address | Dayton, OH 45404-1873 |
Second Address | Dayton, OH 45404-1873 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 13/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2289250 | (05) | OH |
H82322 | (02) | OH |