Provider Demographics
NPI:1942200977
Name:KALRA, VEENA (MD)
Entity Type:Individual
Prefix:DR
First Name:VEENA
Middle Name:
Last Name:KALRA
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 1:2235 S LINDEN RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-5412
Mailing Address - Country:US
Mailing Address - Phone:810-230-0492
Mailing Address - Fax:810-230-0640
Practice Address - Street 1:2235 S LINDEN RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-5412
Practice Address - Country:US
Practice Address - Phone:810-230-0492
Practice Address - Fax:810-230-0640
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301074926207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI160H310240OtherBC BILLING NUMBER
MI139991OtherPREF CHOICE BILLING NUMBE
MI4716698Medicaid
MI4716698OtherMOLINA BILLING NUMBER
MII24155Medicare UPIN
MI160H310240OtherBC BILLING NUMBER