Provider Demographics
NPI:1821119504
Name:PRADEEP V KALOKHE,MD,PC AND URMI P KALOKHE, MD,PC
Entity Type:Organization
Organization Name:PRADEEP V KALOKHE,MD,PC AND URMI P KALOKHE, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:V
Authorized Official - Last Name:KALOKHE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-838-1718
Mailing Address - Street 1:8427 KENNEDY AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-1140
Mailing Address - Country:US
Mailing Address - Phone:219-838-1718
Mailing Address - Fax:219-838-4883
Practice Address - Street 1:8427 KENNEDY AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IN
Practice Address - Zip Code:46322-1140
Practice Address - Country:US
Practice Address - Phone:219-838-1718
Practice Address - Fax:219-838-4883
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100212640Medicaid
IN200496620Medicaid
IN110213980Medicaid
IN200496370Medicaid
IN110213980Medicaid
IN200496620Medicaid
INC25479Medicare UPIN
IN200496370Medicaid