Provider Demographics
NPI:1396088134
Name:KALOLWALA, FAKHRI (MD)
Entity type:Individual
Prefix:DR
First Name:FAKHRI
Middle Name:
Last Name:KALOLWALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16125 CAIRNWAY DR STE 114
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3556
Mailing Address - Country:US
Mailing Address - Phone:832-786-8195
Mailing Address - Fax:
Practice Address - Street 1:16125 CAIRNWAY DR STE 114
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-3556
Practice Address - Country:US
Practice Address - Phone:832-786-8195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine