Healthcare Provider Details
I. General information
NPI: 1114214756
Provider Name (Legal Business Name): BADAL KALAMKAR MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/04/2011
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
757 BOSTON POST RD E STE A
MARLBOROUGH MA
01752-3704
US
IV. Provider business mailing address
757 BOSTON POST RD E
MARLBOROUGH MA
01752-3704
US
V. Phone/Fax
- Phone: 617-500-7933
- Fax: 339-707-2822
- Phone: 617-500-7922
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 258175 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 258175 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: