Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD424307 | PA |
Y | 207VE0102X | Reproductive Endocrinologist | MD424307 | PA |
NPI | 1356496301 |
---|---|
Provider Name | Suleena Kansal Kalra |
First Address | Philadelphia, PA 19107-5701 |
Second Address | Philadelphia, PA 19107-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 01/10/2012 |