Provider Demographics
NPI:1285733626
Name:KALIA PSYCHIATRIC ASSOCIATES
Entity type:Organization
Organization Name:KALIA PSYCHIATRIC ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANOOP
Authorized Official - Middle Name:K
Authorized Official - Last Name:KALIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-853-0054
Mailing Address - Street 1:1054 X RAY DR
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7488
Mailing Address - Country:US
Mailing Address - Phone:704-853-0054
Mailing Address - Fax:704-853-0075
Practice Address - Street 1:1054 X RAY DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7488
Practice Address - Country:US
Practice Address - Phone:704-853-0054
Practice Address - Fax:704-853-0075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health