MEDICARE: RAKESH KALRA MD PLLC

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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1326817867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAKESH KALRA MD PLLC

Provider Business Mailing Address
First Line	:	7995 BLUE DIAMOND RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89178-9408
Country	:	US
Telephone Number	:	702-275-6686
Fax Number	:

Provider Business Practice Location Address
First Line	:	7220 S CIMARRON RD STE 155
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2170
Country	:	US
Telephone Number	:	702-275-6686
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RAKESH KALRA
Credential	:	MD
Telephone Number	:	702-275-6686

Provider Enumeration Date	:	12/26/2023
Last Update Date	:	12/26/2023

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