Provider Demographics
NPI:1336387018
Name:KALU, CHIOMA ANULI (MD)
Entity Type:Individual
Prefix:DR
First Name:CHIOMA
Middle Name:ANULI
Last Name:KALU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22030 SHERMAN WAY
Mailing Address - Street 2:SUITE #210
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1855
Mailing Address - Country:US
Mailing Address - Phone:818-857-5991
Mailing Address - Fax:818-703-0895
Practice Address - Street 1:22030 SHERMAN WAY
Practice Address - Street 2:SUITE #210
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1855
Practice Address - Country:US
Practice Address - Phone:818-857-5991
Practice Address - Fax:818-703-0895
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102218208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics