MEDICARE: KALPANA GHIMIRE MD

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
1	207RN0300X	Nephrology Physician	1215614755	IL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1215614755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALPANA GHIMIRE MD

Provider Business Mailing Address
First Line	:	2330 HOFFMAN ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-8074
Country	:	US
Telephone Number	:	845-906-3590
Fax Number	:

Provider Business Practice Location Address
First Line	:	4422 3RD AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	845-906-3590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2023
Last Update Date	:	01/17/2026

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