Provider Demographics
NPI:1740236983
Name:KALARIA, RUPA (DO)
Entity Type:Individual
Prefix:
First Name:RUPA
Middle Name:
Last Name:KALARIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:RUPA
Other - Middle Name:
Other - Last Name:GONDHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1201 SEVEN LOCKS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2931
Mailing Address - Country:US
Mailing Address - Phone:301-652-5771
Mailing Address - Fax:301-652-6332
Practice Address - Street 1:9901 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3357
Practice Address - Country:US
Practice Address - Phone:301-279-6480
Practice Address - Fax:240-453-5997
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0064358208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics