Provider Demographics
NPI:1821096108
Name:RAMESH B. KALARI, MD, SC.
Entity Type:Organization
Organization Name:RAMESH B. KALARI, MD, SC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:B
Authorized Official - Last Name:KALARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-277-0977
Mailing Address - Street 1:2520 Q STREET
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:IN
Mailing Address - Zip Code:47421
Mailing Address - Country:US
Mailing Address - Phone:812-277-0977
Mailing Address - Fax:812-277-0973
Practice Address - Street 1:2520 Q STREET
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:IN
Practice Address - Zip Code:47421
Practice Address - Country:US
Practice Address - Phone:812-277-0977
Practice Address - Fax:812-277-0973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01042532A207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000090664OtherANTHEM
IN100382530AMedicaid
IN110102977OtherMEDICARE RR
IN110102977OtherMEDICARE RR
494360AMedicare ID - Type Unspecified