Provider Demographics
NPI:1427353234
Name:KALIA, PUJA (PA-C)
Entity type:Individual
Prefix:MS
First Name:PUJA
Middle Name:
Last Name:KALIA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N PARK RD
Mailing Address - Street 2:APT 1365
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3044
Mailing Address - Country:US
Mailing Address - Phone:201-562-2843
Mailing Address - Fax:
Practice Address - Street 1:SIXTH AVENUE AND SPRUCE STREET
Practice Address - Street 2:READING HOSPITAL
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611
Practice Address - Country:US
Practice Address - Phone:484-628-8274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-26
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA054791363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical