Provider Demographics
NPI:1053567339
Name:ISHAAN S. KALHA, MD INC.
Entity type:Organization
Organization Name:ISHAAN S. KALHA, MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISHAAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KALHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-872-3311
Mailing Address - Street 1:PO BOX 2172
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-2172
Mailing Address - Country:US
Mailing Address - Phone:661-281-2125
Mailing Address - Fax:661-281-2126
Practice Address - Street 1:2201 MOUNT VERNON AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-3341
Practice Address - Country:US
Practice Address - Phone:661-872-3311
Practice Address - Fax:661-872-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72491207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty