Healthcare Provider Details

I. General information

NPI: 1477213445
Provider Name (Legal Business Name): INTEGRATIVE HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAIN STREET SUITE 21 #887
MADISON NJ
07940-1040
US

IV. Provider business mailing address

300 MAIN STREET SUITE 21 #887
MADISON NJ
07940-1040
US

V. Phone/Fax

Practice location:
  • Phone: 855-432-5365
  • Fax:
Mailing address:
  • Phone: 559-550-4325
  • Fax: 559-550-4324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KAMAL KALSI
Title or Position: CO-OWNER
Credential: DO
Phone: 925-570-1472