Provider Demographics
NPI:1891793345
Name:KALOKHE, URMI PRADEEP (MD)
Entity Type:Individual
Prefix:DR
First Name:URMI
Middle Name:PRADEEP
Last Name:KALOKHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9208
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IN
Mailing Address - Zip Code:46322-9208
Mailing Address - Country:US
Mailing Address - Phone:219-838-1718
Mailing Address - Fax:219-838-4883
Practice Address - Street 1:5454 HOHMAN AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-1931
Practice Address - Country:US
Practice Address - Phone:219-933-2130
Practice Address - Fax:219-933-2634
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010325992085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100213980Medicaid
INC25479Medicare UPIN
IN100213980Medicaid