Provider Demographics
NPI:1295476745
Name:KALAIGER, ABDUL MUKHTADIR
Entity type:Individual
Prefix:
First Name:ABDUL MUKHTADIR
Middle Name:
Last Name:KALAIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MONTEFIORE MEDICAL CENTER
Mailing Address - Street 2:111 EAST 210TH STREET, BRONX
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:507-319-9639
Mailing Address - Fax:
Practice Address - Street 1:802 1ST ST SW APT 10
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-0328
Practice Address - Country:US
Practice Address - Phone:507-319-9639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program