Provider Demographics
NPI:1689205940
Name:CALIBER MEDICAL, PC
Entity type:Organization
Organization Name:CALIBER MEDICAL, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KICHENAMOURTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-203-5987
Mailing Address - Street 1:227 E 56TH ST RM 203
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3733
Mailing Address - Country:US
Mailing Address - Phone:212-203-5987
Mailing Address - Fax:212-203-8039
Practice Address - Street 1:635 MADISON AVE FL 14
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1009
Practice Address - Country:US
Practice Address - Phone:212-203-5987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty