Provider Demographics
NPI:1477741171
Name:KALPANA NATRAJAN MD INC
Entity Type:Organization
Organization Name:KALPANA NATRAJAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NATRAJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-884-5499
Mailing Address - Street 1:325 W WASHINGTON ST STE 2329
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1946
Mailing Address - Country:US
Mailing Address - Phone:619-884-5499
Mailing Address - Fax:619-785-3296
Practice Address - Street 1:555 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2289
Practice Address - Country:US
Practice Address - Phone:619-260-8300
Practice Address - Fax:619-260-1268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA90413207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
H28008Medicare UPIN
WA90413AMedicare PIN
CN093AMedicare PIN