Provider Demographics
NPI:1720123045
Name:KALIN, EUGENE MICHAEL (MD FRCP (C ))
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:MICHAEL
Last Name:KALIN
Suffix:
Gender:M
Credentials:MD FRCP (C )
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1474 CORONET DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3507
Mailing Address - Country:US
Mailing Address - Phone:775-786-6851
Mailing Address - Fax:775-322-5379
Practice Address - Street 1:1474 CORONET DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3507
Practice Address - Country:US
Practice Address - Phone:775-786-6851
Practice Address - Fax:775-322-5379
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3206207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV05WCGVN13Medicare UPIN
NVC96205Medicare UPIN