Basic Information
Provider Information
NPI: 1346626355
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALONIA
FirstName: HARENDER
MiddleName: KUMAR
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 41 MALL RD
Address2:  
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817448000
FaxNumber:  
Practice Location
Address1: 1425 PORTLAND AVE # 287
Address2:  
City: ROCHESTER
State: NY
PostalCode: 14621
CountryCode: US
TelephoneNumber: 5859225067
FaxNumber: 5859222908
Other Information
ProviderEnumerationDate: 08/03/2015
LastUpdateDate: 04/14/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/14/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X294515NYN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000X286675MAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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