Provider Demographics
NPI:1396700795
Name:KALIKA, SANNA (MD)
Entity type:Individual
Prefix:
First Name:SANNA
Middle Name:
Last Name:KALIKA
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 1:126 5TH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-5631
Mailing Address - Country:US
Mailing Address - Phone:646-880-4465
Mailing Address - Fax:
Practice Address - Street 1:200 CRAIG RD STE 105
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8735
Practice Address - Country:US
Practice Address - Phone:718-913-4433
Practice Address - Fax:866-886-6548
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ331087014207QS0010X
NJ760760601207QS0010X
NJ043851266207QS0010X
NJ25MA07968600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ096111-DCHOtherMEDICARE
NJ0080250Medicaid
NJ4562836OtherCIGNA
NJA0790OtherBCBS HMO OB
NJA0792OtherBCBS HMO KP
P00310583OtherMEDICARE RAILROAD
NJ096111-UJOOtherMEDICARE
NJ096111-S3LOtherMEDICARE
NJ7670754OtherAETNA
NJA0791OtherBCBS HMO AP
NJP3835664OtherOXFORD OB
NJP3835669OtherOXFORD AP
NJP3835677OtherOXFORD KP
I06181Medicare UPIN