Healthcare Provider Details

I. General information

NPI: 1326523234
Provider Name (Legal Business Name): ISHA KALIA MS, MPH, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 05/09/2023
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3201
US

IV. Provider business mailing address

622 W 168TH ST PH 10-305
NEW YORK NY
10032-3720
US

V. Phone/Fax

Practice location:
  • Phone: 202-677-6903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: