Provider Demographics
NPI:1205997707
Name:ALI KALAMCHI, MD PA
Entity type:Organization
Organization Name:ALI KALAMCHI, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:KALAMCHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-633-9900
Mailing Address - Street 1:550 STANTON CHRISTIANA RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2198
Mailing Address - Country:US
Mailing Address - Phone:308-633-9900
Mailing Address - Fax:302-633-9905
Practice Address - Street 1:550 STANTON CHRISTIANA RD
Practice Address - Street 2:SUITE 303
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2198
Practice Address - Country:US
Practice Address - Phone:308-633-9900
Practice Address - Fax:302-633-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC 1002635174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty