Provider Demographics
NPI:1609085364
Name:KALRA, PAWANJIT (PHD)
Entity Type:Individual
Prefix:MS
First Name:PAWANJIT
Middle Name:
Last Name:KALRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:PUNI
Other - Middle Name:
Other - Last Name:KALRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:11059 E BETHANY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2622
Mailing Address - Country:US
Mailing Address - Phone:303-617-2374
Mailing Address - Fax:303-617-2397
Practice Address - Street 1:11059 E BETHANY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2622
Practice Address - Country:US
Practice Address - Phone:303-617-2374
Practice Address - Fax:303-617-2397
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPHD390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program