Provider Demographics
NPI:1164686499
Name:KALRA, INDER DARSHAN KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:INDER DARSHAN
Middle Name:KAUR
Last Name:KALRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:INDER
Other - Middle Name:
Other - Last Name:KALRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5105 N PARK DR
Mailing Address - Street 2:S 504
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-4630
Mailing Address - Country:US
Mailing Address - Phone:516-543-8607
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:PSYCHIATRY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-9015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1930452084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry