Provider Demographics
NPI:1467524041
Name:MASTER, KALPANA RASHMIN (MD)
Entity Type:Individual
Prefix:MRS
First Name:KALPANA
Middle Name:RASHMIN
Last Name:MASTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KALPANA
Other - Middle Name:MADHUSUDAN
Other - Last Name:BHATT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:8823 JUSTICE AVENUE
Mailing Address - Street 2:KALPANA MASTER MD FAAP
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-4558
Mailing Address - Country:US
Mailing Address - Phone:718-271-0110
Mailing Address - Fax:718-592-6340
Practice Address - Street 1:8823 JUSTICE AVENUE
Practice Address - Street 2:KALPANA MASTER MD FAAP
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-4558
Practice Address - Country:US
Practice Address - Phone:718-271-0110
Practice Address - Fax:718-592-6340
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1668501208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00989299Medicaid
NY29415Medicare ID - Type Unspecified
NY00989299Medicaid