MEDICARE: VIKAS KALRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	D93529	MD
2	207R00000X	Internal Medicine Physician	01071243A	IN
3	207RC0000X	Cardiovascular Disease Physician	01071243A	IN
4	207RC0000X	Cardiovascular Disease Physician	D93529	MD
5	207RC0000X	Cardiovascular Disease Physician	036141414	IL
6	207RC0001X	Clinical Cardiac Electrophysiology Physician	036.141414	IL
7	207RC0001X	Clinical Cardiac Electrophysiology Physician	01071243A	IN
8	207RC0001X	Clinical Cardiac Electrophysiology Physician	D93529	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	214881	OTHER	IL	MEDICARE GROUP PTAN

General Provider Information

NPI Number	:	1023270550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIKAS KALRA MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7505 OSLER DR STE 103
Second Line	:
City	:	TOWSON
State	:	MD
Zip	:	21204-7737
Country	:	US
Telephone Number	:	410-427-2580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2008
Last Update Date	:	11/02/2022

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Directions to “ VIKAS KALRA MD” Practice Location

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