Provider Demographics
NPI:1386686038
Name:KALANJ, DARREN LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:LEE
Last Name:KALANJ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:DARREN
Other - Middle Name:LEE
Other - Last Name:KALANJ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:16222 N 59TH AVE
Mailing Address - Street 2:SUITE A100
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85306-1705
Mailing Address - Country:US
Mailing Address - Phone:623-334-4000
Mailing Address - Fax:623-334-4400
Practice Address - Street 1:16222 N 59TH AVE
Practice Address - Street 2:SUITE A100
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-1705
Practice Address - Country:US
Practice Address - Phone:623-334-4000
Practice Address - Fax:623-334-4400
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7417111N00000X
NY011298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor