Provider Demographics
NPI:1154570703
Name:KALYAN, PALANIPRIYA (MD)
Entity type:Individual
Prefix:
First Name:PALANIPRIYA
Middle Name:
Last Name:KALYAN
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:PO BOX 1756
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1756
Mailing Address - Country:US
Mailing Address - Phone:661-328-8904
Mailing Address - Fax:661-310-9506
Practice Address - Street 1:3001 SILLECT AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6337
Practice Address - Country:US
Practice Address - Phone:661-328-8904
Practice Address - Fax:661-310-9506
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC170831207Q00000X, 207QG0300X, 208M00000X
NJ25MA08462200207Q00000X
FLME131534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ139596WC0Medicare PIN