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General NPI Number Information
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NPI Number | 1871755066
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Entity Type | Individual
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Provider Name | DEV NATHAN KALYAN M.D., J.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2008
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Last Update Date | 07/12/2016
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Provider Practice Location Address
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Address Line | 5411 ILLINOIS AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-3907
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Country | US
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Telephone | 646-352-2689
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Fax |
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Provider Business Mailing Address
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Address Line | 5411 ILLINOIS AVE NW
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City | WASHINGTON
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State | DC
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Zip | 20011-3907
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Country | US
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Telephone | 646-352-2689
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MT1932029
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AA12070
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License Number State | CA
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