MEDICARE: DR. GEORGE SEBASTIAN KALLINGAL M.D., M.P.H.

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	208800000X	Urology Physician	60257	AZ

General Provider Information

NPI Number	:	1982809141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE SEBASTIAN KALLINGAL M.D., M.P.H.

Provider Business Mailing Address
First Line	:	PO BOX 33269
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85067-3269
Country	:	US
Telephone Number	:	602-406-4786
Fax Number	:	916-636-4358

Provider Business Practice Location Address
First Line	:	625 N 6TH ST STE 402
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85004-3067
Country	:	US
Telephone Number	:	602-406-8222
Fax Number	:	602-604-4722

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

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	06/08/2026

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