Provider Demographics
NPI:1972725018
Name:KALIA-SATWAH, NIMISHA (MD)
Entity Type:Individual
Prefix:
First Name:NIMISHA
Middle Name:
Last Name:KALIA-SATWAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NIMISHA
Other - Middle Name:
Other - Last Name:KALIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 64264
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-4264
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:BLALOCK 139
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-6433
Practice Address - Fax:410-614-9579
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MDD74576207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program