Provider Demographics
NPI:1629777107
Name:GURJEET KALKAT LLC
Entity Type:Organization
Organization Name:GURJEET KALKAT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GURJEET
Authorized Official - Middle Name:S
Authorized Official - Last Name:KALKAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-926-1196
Mailing Address - Street 1:651 VALPARAISO DR
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:91711-1583
Mailing Address - Country:US
Mailing Address - Phone:626-926-1196
Mailing Address - Fax:
Practice Address - Street 1:435 E GLADSTONE ST
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-5159
Practice Address - Country:US
Practice Address - Phone:626-963-5955
Practice Address - Fax:951-430-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty