Provider Demographics
NPI:1457475410
Name:KALRA, SUNITA (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNITA
Middle Name:
Last Name:KALRA
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 1:6355 S BUFFALO DR FL 3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89113-2133
Mailing Address - Country:US
Mailing Address - Phone:702-216-3346
Mailing Address - Fax:702-671-6883
Practice Address - Street 1:9077 S PECOS RD STE 3800
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7182
Practice Address - Country:US
Practice Address - Phone:702-947-1940
Practice Address - Fax:702-947-1966
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMD40202207Q00000X
NV12916207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV12916OtherSTATE LICENSE
NVPENDINGMedicaid
NV1457475410Medicaid