Provider Demographics
NPI:1235804279
Name:KALAMKARYAN, ELINE (MD)
Entity Type:Individual
Prefix:
First Name:ELINE
Middle Name:
Last Name:KALAMKARYAN
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 1:1951 152ND PL NE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4879
Mailing Address - Country:US
Mailing Address - Phone:142-545-3040
Mailing Address - Fax:
Practice Address - Street 1:1951 152ND PL NE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4879
Practice Address - Country:US
Practice Address - Phone:425-453-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-11
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WATR611246691744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study