Provider Demographics
NPI:1154522670
Name:KALMAT, CHANDRASHEKAR JAYARAJ (MD)
Entity type:Individual
Prefix:DR
First Name:CHANDRASHEKAR
Middle Name:JAYARAJ
Last Name:KALMAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHANDRASHEKAR
Other - Middle Name:JAYARAJ
Other - Last Name:KALMAT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 6765
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-0630
Mailing Address - Country:US
Mailing Address - Phone:623-321-5083
Mailing Address - Fax:
Practice Address - Street 1:750 N ESTRELLA PKWY
Practice Address - Street 2:STE 60
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9272
Practice Address - Country:US
Practice Address - Phone:623-321-5079
Practice Address - Fax:623-321-5083
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070386207LP2900X
DCMD038541207LP2900X
AZ51320207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine