Provider Demographics
NPI:1306856133
Name:KALOJI, MADHUKAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MADHUKAR
Middle Name:
Last Name:KALOJI
Suffix:
Gender:M
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:P.O. BOX 62229
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23466
Mailing Address - Country:US
Mailing Address - Phone:757-460-6080
Mailing Address - Fax:
Practice Address - Street 1:700 INDEPENDENCE CIR STE 3D
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6405
Practice Address - Country:US
Practice Address - Phone:757-460-6080
Practice Address - Fax:757-460-6081
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101840471207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1306856133Medicaid
VAG71370Medicare UPIN
VA290000244Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER