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NPI Code Detail

MEDICARE: DR. ARJUN KALYANPUR M.D.

MEDICARE: DR. ARJUN KALYANPUR 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
12085R0202XDiagnostic Radiology PhysicianA81037CA
22085R0202XDiagnostic Radiology Physician34824CT
32085R0202XDiagnostic Radiology PhysicianMD418327PA

General Provider Information

NPI Number : 1376528315
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARJUN KALYANPUR M.D.
Provider Business Mailing Address
First Line : 22 LLANFAIR RD UNIT 6
Second Line :
City : ARDMORE
State : PA
Zip : 19003-2320
Country : US
Telephone Number : 610-785-6327
Fax Number : 775-242-2409
Provider Business Practice Location Address
First Line : 22 LLANFAIR RD UNIT 6
Second Line :
City : ARDMORE
State : PA
Zip : 19003-2320
Country : US
Telephone Number : 610-785-6327
Fax Number : 775-242-2409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 03/30/2021

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