Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 25MA08462200 | NJ |
Y | 207Q00000X | Family Doctor | C170831 | CA |
N | 207Q00000X | Family Doctor | ME131534 | FL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | C170831 | CA |
NPI | 1154570703 |
---|---|
Provider Name | Palanipriya Kalyan |
First Address | Bakersfield, CA 93390-1345 |
Second Address | Bakersfield, CA 93308-6337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2008 |
Last Update Date | 12/10/2021 |