MEDICARE: DR. VRINDA PANKAJ KALARIA M.D.

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	207Q00000X	Family Medicine Physician	038065	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00317032	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	038065	OTHER	GA	STATE LICENSE

General Provider Information

NPI Number	:	1659375681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VRINDA PANKAJ KALARIA M.D.

Provider Business Mailing Address
First Line	:	6098 DEBRA ROAD
Second Line	:	6200 BLDG, 5200 STE
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411
Country	:	US
Telephone Number	:	423-893-6500
Fax Number	:	423-893-6563

Provider Business Practice Location Address
First Line	:	6098 DEBRA ROAD
Second Line	:	6200 BLDG, 5200 STE
City	:	CHATTANOOGA
State	:	TN
Zip	:	37411
Country	:	US
Telephone Number	:	423-893-6500
Fax Number	:	423-893-6563

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

Provider Enumeration Date	:	06/08/2005
Last Update Date	:	03/07/2023

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