Healthcare Provider Details

I. General information

NPI: 1619505393
Provider Name (Legal Business Name): KALYANI DHAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 1ST AVE
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

530 1ST AVE
NEW YORK NY
10016-6402
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-0119
  • Fax: 646-501-0145
Mailing address:
  • Phone: 646-501-0119
  • Fax: 646-501-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number324875
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number324875
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: