Healthcare Provider Details

I. General information

NPI: 1003476193
Provider Name (Legal Business Name): BINEH-KARAN SINGH KALRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 HAGGERTY RD STE 2190
W BLOOMFIELD MI
48323-2192
US

IV. Provider business mailing address

2300 HAGGERTY RD STE 2190
W BLOOMFIELD MI
48323-2192
US

V. Phone/Fax

Practice location:
  • Phone: 248-960-1122
  • Fax: 248-246-0506
Mailing address:
  • Phone: 248-960-1122
  • Fax: 248-246-0506

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number4301507525
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: