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NPI Code Detail

MEDICARE: KALTRA DHIMA PHD

MEDICARE:   KALTRA  DHIMA  PHD
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
1103TC0700XClinical Psychologist3731TN
2103G00000XClinical Neuropsychologist

General Provider Information

NPI Number : 1215550900
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALTRA DHIMA PHD
Provider Business Mailing Address
First Line : PO BOX 845347 PO BOX 845347
Second Line :
City : DALLAS
State : TX
Zip : 75284-0001
Country : US
Telephone Number : 214-648-4646
Fax Number :
Provider Business Practice Location Address
First Line : 1440 EMPIRE CENTRAL DR
Second Line :
City : DALLAS
State : TX
Zip : 75247-4091
Country : US
Telephone Number : 214-648-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2020
Last Update Date : 04/28/2025

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Directions to “ KALTRA DHIMA PHD” Practice Location

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