Provider Demographics
NPI:1518429653
Name:NADER KALANTAR MD INC
Entity type:Organization
Organization Name:NADER KALANTAR MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NADER
Authorized Official - Middle Name:
Authorized Official - Last Name:KALANTAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-592-2078
Mailing Address - Street 1:1334 W COVINA BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-3211
Mailing Address - Country:US
Mailing Address - Phone:909-592-2078
Mailing Address - Fax:909-592-0279
Practice Address - Street 1:1334 W COVINA BLVD STE 201
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-3211
Practice Address - Country:US
Practice Address - Phone:909-592-2078
Practice Address - Fax:909-592-0279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty