Healthcare Provider Details
I. General information
NPI: 1346569944
Provider Name (Legal Business Name): NAREG KALAMKARIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/21/2010
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2335 E KASHIAN LN STE 240
FRESNO CA
93701-2211
US
IV. Provider business mailing address
2625 E DIVISADERO ST
FRESNO CA
93721-1431
US
V. Phone/Fax
- Phone: 559-320-0545
- Fax: 559-320-0550
- Phone: 559-443-2682
- Fax: 559-443-2681
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | A139478 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0001X |
| Taxonomy | Clinical Cardiac Electrophysiology Physician |
| License Number | A139478 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: