Provider Demographics
NPI:1295711539
Name:KALHA, ISHAAN SINGH (MD)
Entity type:Individual
Prefix:MR
First Name:ISHAAN
Middle Name:SINGH
Last Name:KALHA
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:PO BOX 2172
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-2172
Mailing Address - Country:US
Mailing Address - Phone:661-325-0055
Mailing Address - Fax:661-325-0050
Practice Address - Street 1:6001 TRUXTUN AVE
Practice Address - Street 2:BUILDING B STE 240
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0679
Practice Address - Country:US
Practice Address - Phone:661-323-1200
Practice Address - Fax:661-616-5339
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-19
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72491207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I09848Medicare UPIN
CA00A72491Medicare ID - Type Unspecified