Provider Demographics
NPI:1316120934
Name:KALRA, VANEET KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:VANEET
Middle Name:KUMAR
Last Name:KALRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:VANEET
Other - Middle Name:KUMAR
Other - Last Name:KALRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:EAST BAY NEWBORN SPECIALISTS
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3282
Mailing Address - Fax:
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:EAST BAY NEWBORN SPECIALISTS
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138258208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics