Provider Demographics
NPI:1154465664
Name:KALIANA, KUMAR M (MD)
Entity type:Individual
Prefix:DR
First Name:KUMAR
Middle Name:M
Last Name:KALIANA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MUTHUKUMARAN
Other - Middle Name:
Other - Last Name:KALIANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1952 E 73RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60649-2902
Mailing Address - Country:US
Mailing Address - Phone:773-493-5600
Mailing Address - Fax:773-493-5790
Practice Address - Street 1:1952 E 73RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2902
Practice Address - Country:US
Practice Address - Phone:773-493-5600
Practice Address - Fax:773-493-5790
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036045238207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine