Provider Demographics
NPI:1356489181
Name:KALRA, ARUN KUMAR (MD)
Entity Type:Individual
Prefix:
First Name:ARUN
Middle Name:KUMAR
Last Name:KALRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39755 DATE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2007
Mailing Address - Country:US
Mailing Address - Phone:760-346-7655
Mailing Address - Fax:760-301-3243
Practice Address - Street 1:310 HARTNELL AVE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1800
Practice Address - Country:US
Practice Address - Phone:530-245-2900
Practice Address - Fax:530-221-1675
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC51926207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C519260Medicaid
CAAZ501ZMedicare PIN
B82776Medicare UPIN
CAZZZ32501ZOtherMEDICARE GROP ID