Healthcare Provider Details

I. General information

NPI: 1760650816
Provider Name (Legal Business Name): VIRENDER SINGH KALEKA, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2008
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 N DELMAR #104 93711-6872
FRESNO CA
93711-6872
US

IV. Provider business mailing address

7545 N DELMAR AVE STE#104
FRESNO CA
93711-6872
US

V. Phone/Fax

Practice location:
  • Phone: 559-432-2003
  • Fax: 559-449-0388
Mailing address:
  • Phone: 559-432-2003
  • Fax: 559-449-0388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number040000541
License Number StateCA

VIII. Authorized Official

Name: DR. VIRENDER SINGH KALEKA
Title or Position: MEDICAL DIRECTOR
Credential: M.D
Phone: 559-432-2003