Healthcare Provider Details

I. General information

NPI: 1154570703
Provider Name (Legal Business Name): PALANIPRIYA KALYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2008
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 SILLECT AVE
BAKERSFIELD CA
93308-6337
US

IV. Provider business mailing address

PO BOX 1756
BAKERSFIELD CA
93302-1756
US

V. Phone/Fax

Practice location:
  • Phone: 661-328-8904
  • Fax: 661-310-9506
Mailing address:
  • Phone: 661-328-8904
  • Fax: 661-310-9506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC170831
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA08462200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME131534
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberC170831
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberC170831
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: