NPI Code Details Logo

NPI 1154570703

NPI 1154570703 : PALANIPRIYA KALYAN MD : BAKERSFIELD, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154570703
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PALANIPRIYA KALYAN MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/18/2008
-----------------------------------------------------
    Last Update Date     |    02/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3001 SILLECT AVE 
-----------------------------------------------------
    City                 |    BAKERSFIELD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93308-6337
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-328-8904
-----------------------------------------------------
    Fax                  |    661-310-9506
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1756 
-----------------------------------------------------
    City                 |    BAKERSFIELD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93302-1756
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    661-328-8904
-----------------------------------------------------
    Fax                  |    661-310-9506
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    C170831
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    25MA08462200
-----------------------------------------------------
    License Number State |    NJ
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    ME131534
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207QG0300X
-----------------------------------------------------
    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
-----------------------------------------------------
    License Number       |    C170831
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    208M00000X
-----------------------------------------------------
    Taxonomy Name        |    Hospitalist Physician
-----------------------------------------------------
    License Number       |    C170831
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.