Provider Demographics
NPI:1225105802
Name:CHIKARMANE, KALPANA A (MD)
Entity Type:Individual
Prefix:
First Name:KALPANA
Middle Name:A
Last Name:CHIKARMANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N LAUREL ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HAZLETON
Mailing Address - State:PA
Mailing Address - Zip Code:18201
Mailing Address - Country:US
Mailing Address - Phone:570-454-5715
Mailing Address - Fax:570-455-5095
Practice Address - Street 1:20 N LAUREL ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HAZLETON
Practice Address - State:PA
Practice Address - Zip Code:18201
Practice Address - Country:US
Practice Address - Phone:570-454-5715
Practice Address - Fax:570-455-5095
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027997E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA108942Medicare ID - Type Unspecified
B36773Medicare UPIN