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NPI Code Detail

MEDICARE: DR. KUMAR M KALIANA M.D.

MEDICARE:  DR. KUMAR M KALIANA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036045238IL

General Provider Information

NPI Number : 1154465664
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KUMAR M KALIANA M.D.
Provider Business Mailing Address
First Line : 1952 E 73RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60649-2902
Country : US
Telephone Number : 773-493-5600
Fax Number : 773-493-5790
Provider Business Practice Location Address
First Line : 1952 E 73RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60649-2902
Country : US
Telephone Number : 773-493-5600
Fax Number : 773-493-5790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2007
Last Update Date : 09/25/2011

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Directions to “ DR. KUMAR M KALIANA M.D.” Practice Location

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