Provider Demographics
NPI:1952458556
Name:KALMAN, PHILIP BYRON (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:BYRON
Last Name:KALMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1349 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWMAN
Mailing Address - State:CA
Mailing Address - Zip Code:95360-1326
Mailing Address - Country:US
Mailing Address - Phone:209-862-3604
Mailing Address - Fax:209-862-3904
Practice Address - Street 1:1349 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWMAN
Practice Address - State:CA
Practice Address - Zip Code:95360-1326
Practice Address - Country:US
Practice Address - Phone:209-862-3604
Practice Address - Fax:209-862-3904
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG28039207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1952458556Medicaid